JOY R FACKENTHALL MD NPI 1376626556

NPI Details

Joy R Fackenthall, MD is a family medicine in Stanwood, WA with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Joy R Fackenthall, MD NPI is 1376626556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

7205 265TH ST NW
STANWOOD, WA
ZIP 98292-221
Phone: (360) 629-1504

The NPI 1376626556 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.

• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
• Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
• Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Hemoglobin a1c level (HCPCS:83036)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
• Blood test, comprehensive group of blood chemicals (HCPCS:80053)
• 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0004)
• Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
• Administration of hepatitis b vaccine (HCPCS:G0010)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
• Hepatitis b vaccine, adult dosage (HCPCS:90739)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Bacterial colony count, urine (HCPCS:87086)
• Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Removal of impacted ear wax by washing (HCPCS:69209)
• Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
• Urine microalbumin (protein) level (HCPCS:82043)
• Vitamin d-3 level (HCPCS:82306)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 12/11/2012.

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:

Other Identifiers

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