Lisa D Fairchild
MD | Pediatrics | Female
Lisa D Fairchild, MD is a Vicksburg, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa D Fairchild is
2100 Highway 61 N, Vicksburg, Mississippi - 39183-8211. She can be contacted on phone at
601-883-5000.
Lisa D Fairchild is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa D Fairchild is
1033154794 which was assigned by NPPES on 18 Jun, 2006 and it was last updated on 10 Sep, 2020.
Lisa D Fairchild license number is
16733 for Pediatrics (208000000X) in Mississippi.
Lisa D Fairchild is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa D Fairchild basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Lisa D Fairchild |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa D Fairchild 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 : | 2100 Highway 61 N
Vicksburg, MS, 39183-8211
United States |
|---|
| Phone Number : | 601-883-5000 |
|---|
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 : | 1033154794 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2006 |
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| Last Updated On : | 10 Sep, 2020 |
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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 Lisa D Fairchild are as mentioned. Primary taxonomy code for Lisa D Fairchild, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 16733 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Lisa D Fairchild such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1484041 | MEDICAID | LA | |
| 00123219 | MEDICAID | MS | |
| 7004163 | Other | MS | AETNA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | lisa.fairchild.1@1475.direct.athenahealth.com
AMR direct address | No affiliation |
|
| 2100 HIGHWAY 61 N,
VICKSBURG, MS, 39183-8211
United States |
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 : | 2100 Highway 61 N
Vicksburg, MS, 39183-8211
United States |
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| Phone Number : | 601-883-5000 |
|---|
Business Location:
Patients can refer following map for directions to
Lisa D Fairchild practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.