Susan C Fair DO PA
NPI 1407055874ActiveOrganization· Family Medicine· Merritt Island, FL
Family Medicine in Merritt Island, Florida, registered in NPPES in July 2007. The authorized official on file is Susan C. Fair, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407055874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2007 |
| Last updated in NPPES | Sep 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS7489 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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