Jonathan T Fanburg
MD | Pediatric Adolescent Medicine | Male
Jonathan T Fanburg, MD is a Falmouth, Maine based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Jonathan T Fanburg is
5 Bucknam Road, Suite 1d, Falmouth, Maine - 04105-1208. He can be contacted on phone at
207-781-1775 and fax number 207-781-1780.
Jonathan T Fanburg is a sole proprietor of his business.
NPI number (Unique professional ID) for Jonathan T Fanburg is
1275574311 which was assigned by NPPES on 09 Jun, 2006 and it was last updated on 26 Jun, 2012.
Jonathan T Fanburg license number is
MD14878 for Pediatrics Adolescent Medicine (2080A0000X) in Maine.
Jonathan T Fanburg specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jonathan T Fanburg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Jonathan T Fanburg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jonathan T Fanburg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5 Bucknam Road, Suite 1d
Falmouth, ME, 04105-1208
United States |
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| Phone Number : | 207-781-1775 |
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| Fax Number : | 207-781-1780 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275574311 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jun, 2006 |
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| Last Updated On : | 26 Jun, 2012 |
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Medicare Participation:
Jonathan T Fanburg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8729024922 |
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| Medicare Enrollment ID : | I20050628000858 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Vanderbilt University School Of Medicine |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Jonathan T Fanburg accepts medicare insurance. |
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Group Practice Association:
Jonathan T Fanburg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jonathan T Fanburg is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Maine Medical Partners | 9335043967 | 808 | 1 Harnois Ave
Suite 1a
Westbrook, ME - 040924399
Ph: 2076621360 | Yes |
| Maine Medical Partners | 9335043967 | 808 | 75 John Roberts Rd B
South Portland, ME - 041066967
Ph: 2077754151 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan T Fanburg are as mentioned. Primary taxonomy code for Jonathan T Fanburg, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD14878 | ME |
Legacy Identifiers:
Other legacy medical identifiers of Jonathan T Fanburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 282610099 | MEDICAID | ME | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301c Us Route 1
Scarborough, ME, 04074-9701
United States |
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| Phone Number : | 207-396-8600 |
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| Fax Number : | 207-396-8632 |
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Business Location:
Patients can refer following map for directions to
Jonathan T Fanburg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.