Dr. Michael C Fahey, MD
Pediatrics, Pediatric Cardiology in Worcester, Massachusetts
1255536082- Practice location
- 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655-0002
- Phone
- 774-441-8080
- Fax
- 774-441-8054
- Last updated
- May 6, 2025
Michael C. Fahey is a Pediatrics, Pediatric Cardiology based in Worcester, MA. Michael C. Fahey practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Michael C. Fahey is 1255536082 and holds a License No. 236443 (NY). The current practice location address for Michael C. Fahey is 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655-0002 and can be reached out via phone at 774-441-8080 and via fax at 774-441-8054.
Provider Profile Details
- NPI Number
- 1255536082
- Provider Name
- Michael C. Fahey
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655-0002
- Phone Number
- 774-441-8080
- Fax Number
- 774-441-8054
- Primary Taxonomy
- Pediatrics, Pediatric Cardiology · 2080P0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 20, 2007
- Last Update Date
- May 6, 2025
- Certification Date
- May 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Department Of Pediatrics
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-441-8080
- Fax Number
- 774-441-8054
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- 236443
- License State (1)
- NY
- Taxonomy (1)
- Pediatrics, Pediatric Cardiology · 2080P0202X
- License Number (2)
- 235218
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics, Pediatric Cardiology · 2080P0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Cardiology providers near Worcester, MA
View all Pediatrics, Pediatric Cardiology providers in Worcester →Frequently Asked Questions
What is the NPI number of Dr. Michael C Fahey, MD?
The NPI number of Dr. Michael C Fahey, MD is 1255536082. It was assigned on June 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael C Fahey, MD?
Dr. Michael C Fahey, MD is registered under the primary taxonomy Pediatrics, Pediatric Cardiology (code 2080P0202X), licensed in NY under license number 236443.
Where does Dr. Michael C Fahey, MD practice?
The practice location is 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655-0002. The office can be reached at 774-441-8080 (phone) or 774-441-8054 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255536082 directly on the NPPES registry website.