JOHN FAHEY M.D. – NPI #1487663811
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

JOHN FAHEY is a physician located in BROOKFIELD, WI. NPPES has assigned the NPI number 1487663811 to JOHN FAHEY on August 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 5 years ago on Dec 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN FAHEY below.

NPI Profile for
JOHN FAHEY

NPI Number
1487663811
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN FAHEY
Credentials
M.D.
Primary location
13850 W CAPITOL DR
BROOKFIELD, WI 53005-2422
Phone: (262) 790-1118 Fax: (262) 790-2070
Mailing address
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone: (414) 352-3100 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN FAHEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREWIP00836831
MEDICAIDWI3069900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)
WI 24511

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
13850 W CAPITOL DR,
BROOKFIELD, WI 77025-1669

Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
13850 W CAPITOL DR,
BROOKFIELD, WI 77025-1669