Provider Demographics
NPI:1447351879
Name:ARTHROCARE ARTHRITIS CARE AND RESEARCH, P.C.
Entity type:Organization
Organization Name:ARTHROCARE ARTHRITIS CARE AND RESEARCH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FAIRFAX
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-834-6576
Mailing Address - Street 1:2451 E BASELINE RD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2471
Mailing Address - Country:US
Mailing Address - Phone:480-834-6576
Mailing Address - Fax:480-844-9237
Practice Address - Street 1:2451 E BASELINE RD
Practice Address - Street 2:SUITE 440
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2471
Practice Address - Country:US
Practice Address - Phone:480-834-6576
Practice Address - Fax:480-844-9237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZWDCFYMedicare PIN