Orthopaedic Surgery
J H FAIRBANKS MD PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1336209550 · enumerated 2006-12-11 · record updated 2023-07-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ANGEL NUGENT, Manager · (318) 336-2212
Other names: RIVERPARK SPORTS MEDICINE AND PHYSICAL THERAPY
Addresses and phones
- Mailing address 107 FRONT ST, SUITE 230, VIDALIA, LA, 39120 (318) 336-2212 Fax (318) 336-6067 Google Maps Apple Maps OpenStreetMap
- Practice location 107 FRONT ST, SUITE 230, VIDALIA, LA, 39120 (318) 336-2212 Fax (318) 336-6067 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · License 15703 MS
- Orthopaedic Surgery, Sports Medicine 207XX0005X · License MD017268 LA
- Orthopaedic Surgery 207X00000X · Primary · License MD017268 LA
Locations and evidence
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Practice location
VIDALIA, LA, 39120
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.