DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAIRHAVEN OBSTETRICS & GYNECOLOGY, INC

MEDICARE: FAIRHAVEN OBSTETRICS & GYNECOLOGY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner
2367A00000XAdvanced Practice Midwife
3207V00000XObstetrics & Gynecology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CB5226OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437183605
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRHAVEN OBSTETRICS & GYNECOLOGY, INC
Provider Business Mailing Address
First Line : 1111 LIGHTHOUSE LANE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-3824
Country : US
Telephone Number : 574-533-0348
Fax Number : 574-533-0277
Provider Business Practice Location Address
First Line : 1111 LIGHTHOUSE LANE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-3824
Country : US
Telephone Number : 574-533-0348
Fax Number : 574-533-0277
Authorized Official
Title or Position : PRESIDENT
Name : GAYLE J BORKOWSKI
Credential : M.D.
Telephone Number : 574-533-0348
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/07/2009

Similar Medicare Providers

1922092733 — KENNETH D PETERSEN M.D.
Practice Location Address:
1111 LIGHTHOUSE LANE
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277
1003800814 — JULIA A GAUTSCHE C.N.M.
Practice Location Address:
1111 LIGHTHOUSE LANE
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277
1720072531 — MELISSA L BACH W.H.N.P.
Practice Location Address:
1111 LIGHTHOUSE LANE
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277
1548254352 — RACHEL A JOHNS C.N.M.
Practice Location Address:
1111 LIGHTHOUSE LANE
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277
1366436172 — VERNON MAES D.O.
Practice Location Address:
1111 LIGHTHOUSE LANE
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277
1366484099 — DR. GREG M MIELKE M.D.
Practice Location Address:
1111 LIGHTHOUSE LN
GOSHEN, IN
46526-3824
Practice Phone: 574-533-0348
Practice Fax: 574-533-0277

Directions to “FAIRHAVEN OBSTETRICS & GYNECOLOGY, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.