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DR. JONATHAN T FAIRBANK MD
NPI 1184645814
Radiology - Nuclear Radiology in Burlington, VT

Active since July 21, 2006
111 COLCHESTER AVE, DEPT. OF RADIOLOGY, BURLINGTON, VT 05401(802) 847-3592(802) 847-4822 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan T Fairbank Md NPPES

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

DR. JONATHAN T FAIRBANK MD (NPI 1184645814) is an individual nuclear radiology provider in Burlington, Vermont, licensed in Vermont (042-0003761) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184645814
Entity TypeIndividualMale
Primary Taxonomy2085N0904X
Provider Legal NameDR. JONATHAN T FAIRBANKCredential: MD
Location Address111 COLCHESTER AVE, DEPT. OF RADIOLOGYBurlington, VT 05401-1473
Mailing Address283 Spear StCharlotte, VT 05445-9132 · (802) 847-3592 · Fax (802) 847-4822
Phone(802) 847-3592
Fax(802) 847-4822
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184645814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License✔ Licensed in VT · 042-0003761
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
111 COLCHESTER AVE, Burlington, VT 05401
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Other Identifiers 3

Medicare UPINB85600VT
Medicaid4755VT
Medicare ID-Type UnspecifiedFAVT4755VT

Other Providers at the Same Location NPPES 20

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

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
ANDREW HUY NGUYEN MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
MS. MERJA CAHOON NNP
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2370

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 Jonathan Fairbank's NPI number?

The NPI number for Jonathan Fairbank is 1184645814. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jonathan Fairbank located?

Jonathan Fairbank practices at 111 Colchester Ave Dept. Of Radiology, Burlington, VT 05401. The listed phone number is (802) 847-3592.

What is Jonathan Fairbank's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

When was this NPI record last updated?

The NPPES record for Jonathan Fairbank was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.