Mark R Fahey, MD - Anesthesiology in Santa Rosa, CA

Mark R Fahey, MD is a Anesthesiology physician based in Santa Rosa, California. Mark R Fahey is licensed to practice in California (license number G38339) and his current practice location is 401 Bicentennial Way, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 571-4000.

NPI number for Mark R Fahey is 1184708174 and his current mailing address is 1800 Harrison St Fl 7, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184708174.

Contact Information

Mark R Fahey, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 571-4000
Not Available

Map and Direction




Physician's Profile

Full NameMark R Fahey
GenderMale
SpecialityAnesthesiology
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184708174
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark R Fahey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184708174NPI-NPPES
00G383390MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology G38339 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark R Fahey is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark R Fahey, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429

Ph: (510) 625-6262
Mark R Fahey, MD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 571-4000

Reviews and Comments


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