JEAN K. FAHEY MD – NPI #1174503023
Pediatrics

A pediatrician 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.

JEAN FAHEY is a physician located in ALEXANDRIA, MN. NPPES has assigned the NPI number 1174503023 to JEAN FAHEY on January 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name JEAN WEAVER. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Apr 11, 2008. 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 JEAN FAHEY below.

NPI Profile for
JEAN K. FAHEY

NPI Number
1174503023
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEAN K. FAHEY
Other Name: JEAN WEAVER
Credentials
MD
Primary location
610 30TH AVENUE WEST
ALEXANDRIA CLINIC PA
ALEXANDRIA, MN 56308
Phone: (320) 763-5123 Fax: (320) 763-7883
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
208000000X
- Pediatrics (Primary)
MN 24716

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.