ROBERT ANTHONY FAIRFAX PA-C NPI 1063408052

NPI Information

  • NPI: 1063408052
  • Provider Name: ROBERT ANTHONY FAIRFAX, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 W 8TH AVE STE 1400
    SPOKANE, WA
    ZIP 99204
  • Phone: (509) 744-2200

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NPI Details

Robert Anthony Fairfax, PA-C is a physician assistant in Spokane, WA with 33 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Robert Anthony Fairfax, PA-C NPI is 1063408052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 W 8TH AVE STE 1400
SPOKANE, WA
ZIP 99204-307
Phone: (509) 744-2200
Fax: (509) 227-7070

The NPI 1063408052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • Biopsy and removal of lymph nodes of abdominal cavity using an endoscope (HCPCS:38570)
  • Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS:58571)
  • Removal of uterus for removal of growth using an endoscope (HCPCS:58575)
  • Removal of appendix during other major procedure (HCPCS:44955)

The enumeration date for this NPI number is 9/23/2005 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA10003111WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1970030113OTHERRAILROAD MEDICARE
2000010142789OTHERBLUE SHIELD OF IDAHO
38323370MEDICAIDWASHINGTON
47628FAOTHERWASHINGTONASURIS NW HEALTH
5806204300MEDICAIDIDAHO
60166417OTHERWASHINGTONLABOR & INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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