Paul F Fader
Medical Specialty
Professional ID
- NPI: 1942205620
- PECOS ID: 1951329028
- Enrollment ID: I20100319000206
- Credential(MD, DO, DPM): MD
- Medical School: Michigan State University College Of Human Medicine
- Medical School Graduation Year: 1986
Hospital Service
- Hospital CCN1: 030073
- Business Name (LBN)1: Tuba City Regional Health Care Corporation
- Hospital CCN2: 030023
- Business Name (LBN)2: Flagstaff Medical Center
Medical Practices
- Organization Name: Tuba City Regional Health Care Corporation
- Group Practice ID assigned by PECOS: 4284542531
- Number of Group Practice member: 127
Location
- Address1: 167 Main St
- Address2: Tcrhcc Mobile Medical Clinic
- City: Tuba City
- State: Arizona
- Zip Code: 86045
- Phone Number: (928)283-2501
Location
- Address1: 167 N Main St
- Address2: Tuba City Indian Medical Center
- City: Tuba City
- State: Arizona
- Zip Code: 86045
- Phone Number: (928)283-2094
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):