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DR. JEFFREY HASKELL FAIR MD NPI 1780606004


NPI Information

NPI: 1780606004
Provider Name: DR. JEFFREY HASKELL FAIR, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Organization: UNIVERSITY OF TEXAS MEDICAL BRANCH FACULTY GROUP PRACTICE

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
SUITE 590 W
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0604
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DR. Jeffrey Haskell Fair, MD is a surgery in Gainesville, FL with 41 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Jeffrey Haskell Fair, MD NPI is 1780606004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:1983

The provider's business location address is:

1600 SW ARCHER RD
SUITE 590 W
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 265-0604
Fax: (352) 265-0190

The NPI 1780606004 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 enumeration date for this NPI number is 7/24/2006 and was last updated on 4/17/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery29106NORTH CAROLINANo
2208600000XSurgeryME111974FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18931062MEDICAIDNORTH CAROLINA
2FY125ZMEDICARE PINFLORIDA
32193319MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
4004578500MEDICAIDFLORIDA
5E42568MEDICARE UPINNORTH CAROLINA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.