Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dan S Fairman, MD

Individual provider Internal Medicine Physician · NPI 1023059250

Dan S Fairman, MD is an Internal Medicine in Ketchum, Idaho. Graduated from Saint Louis University School of Medicine in 1982, 44 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
44
Trained at
Saint Louis University School of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Hospital Dr
Ketchum, ID 83340
Phone: (208) 727-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M4921 (ID)

Record details

NPI number1023059250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJanuary 30, 2013
Mailing addressPo Box 100, Ketchum, ID 83340-0100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Ketchum