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JEAN K FAHEY MD
NPI 1174503023
Pediatrics in Alexandria, MN

Active since January 18, 2006
610 30TH AVENUE WEST, ALEXANDRIA CLINIC PA, ALEXANDRIA, MN 56308(320) 763-5123(320) 763-7883 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean K Fahey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN K FAHEY MD (NPI 1174503023) is an individual pediatrics provider in Alexandria, Minnesota, licensed in Minnesota (24716) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174503023
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJEAN K FAHEYCredential: MD
Location Address610 30TH AVENUE WEST, ALEXANDRIA CLINIC PAAlexandria, MN 56308
Mailing Address610 30th Avenue West, Alexandria Clinic PaAlexandria, MN 56308 · (320) 763-5123 · Fax (320) 763-7883
Phone(320) 763-5123
Fax(320) 763-7883
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateApril 11, 2008
✔ NPI 1174503023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 24716
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
610 30TH AVENUE WEST, Alexandria, MN 56308
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Other Names 1

Other Name (5)Mrs. Jean Weaver Md

Other Identifiers 1

Medicare UPIND64118

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN D CARLSEN MD
Pediatrics
610 30TH AVENUE WEST, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
MICHELLE C MIRAU MD
Obstetrics & Gynecology
610 30TH AVENUE WEST, ALEXANDRIA CLINIC PA
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
TARA L PASCHKA RDLD
Dietitian, Registered
610 30TH AVENUE WEST, ALEXANDRIA CLINIC PA
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
GARY L PAULSON MD
Surgery
610 30TH AVENUE WEST, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
JOHN W EMBLOM DO
Internal Medicine
610 30TH AVENUE WEST, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Fahey's NPI number?

The NPI number for Jean Fahey is 1174503023. It was assigned to this individual provider in the NPPES registry on January 18, 2006. The provider is also known as Mrs. Jean Weaver MD.

Where is Jean Fahey located?

Jean Fahey practices at 610 30th Avenue West Alexandria Clinic PA, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Jean Fahey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jean Fahey was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.