PHILLIP FAIRBOURN M.D. – NPI #1801182357
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

PHILLIP FAIRBOURN is a radiologist located in SAINT GEORGE, UT. NPPES has assigned the NPI number 1801182357 to PHILLIP FAIRBOURN on June 23, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Mar 25, 2025. 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 PHILLIP FAIRBOURN below.

NPI Profile for
PHILLIP FAIRBOURN

NPI Number
1801182357
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP FAIRBOURN
Credentials
M.D.
Primary location
2825 E MALL DR
SAINT GEORGE, UT 84790-1954
Phone: (435) 986-2238 Fax: (435) 986-2237
5 Other location(s):
1175 E 50 S Ste 141
American Fork, UT 84003-2845
Phone: (801) 492-5996
3000 N Triumph Blvd Ste 100
Lehi, UT 84043-4999
Phone: (801) 812-4624
1055 N 500 W Ste 112
Provo, UT 84604-3305
Phone: (801) 812-4624
555 W SR 164
Salem, UT 84653
Phone: (801) 812-4624
2825 E Mall Dr
St George, UT 84790-1954
Phone: (435) 986-2238
Fax: (435) 986-2237
Mailing address
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone: (801) 354-8225 Fax: (801) 418-0941
Sole Proprietor
No
Updated
Certification Date
Mar 25, 2025

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.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 UT 10800395-1205

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
1055 N 500 W STE 112,
PROVO, UT 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1175 E 50 S STE 141,
AMERICAN FORK, UT 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1490 E FOREMASTER DR BLDG C,
ST GEORGE, UT 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3000 N TRIUMPH BLVD STE 100,
LEHI, UT 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
555 W SR 164,
SALEM, UT 77025-1669

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PHILLIP FAIRBOURN is affiliated with the following medical group(s):
  • HOSPITAL
    • JORDAN VALLEY MEDICAL CENTER
      3580 WEST 9000 SOUTH
      WEST JORDAN, UT 84088
    • MOUNTAIN VIEW HOSPITAL
      1000 EAST 100 NORTH
      PAYSON, UT 84651
    • TIMPANOGOS REGIONAL HOSPITAL
      750 WEST 800 NORTH
      OREM, UT 84057

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.