Grant A. Fairbanks, MD PC
NPI 1891008777ActiveOrganization· Plastic Surgery· Bountiful, UT
Plastic Surgery in Bountiful, Utah, registered in NPPES in July 2010. The authorized official on file is Grant A. Fairbanks, Provider.
Overview
| NPI | 1891008777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2010 |
| Last updated in NPPES | Nov 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 2744901205 | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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