Provider Demographics
NPI:1205839784
Name:FAYRE, GAIL B (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:B
Last Name:FAYRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:L
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 MORRILL PL
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3530
Mailing Address - Country:US
Mailing Address - Phone:978-834-8074
Mailing Address - Fax:978-834-8077
Practice Address - Street 1:25 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3867
Practice Address - Country:US
Practice Address - Phone:978-463-1383
Practice Address - Fax:978-463-1386
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9687207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH010122729OtherRAILROAD MEDICARE ID#
NH0106222YPNH01OtherANTHEM ID#
NHG33728OtherHARVARD PILGRIM ID #
NH222594672OtherGREATWEST HEALTHCARE ID#
NH2139311OtherCIGNA ID #
NH222594672OtherPRIVATE HEALTH CARE ID#
NH3009542Medicaid
NH371551OtherMVP HEALTHCARE ID#
NH0106222Y0NH01OtherANTHEM HFH ID#
NH222594672OtherHEALTH CARE VALUE MANAG#
NH3016256OtherAETNA ID#
NHH005016OtherTRICARE ID#
NH01-04592OtherUNITED HEALTHCARE ID#
NH371552OtherMVP HEALTHCARE HFH ID#
NH2139311OtherCIGNA ID #
NH222594672OtherGREATWEST HEALTHCARE ID#