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

Dr. Lisa Marie Fahey, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1356631543

Dr. Lisa Marie Fahey, MD is a Gastroenterology in Philadelphia, Pennsylvania. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2011, 15 years ago. Practices with Childrens Health Care Associates Inc, a 212-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3401 Civic Center Blvd Division Of Pediatric Gastroenterology
Philadelphia, PA 19104-4319
Phone: (215) 590-3630
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence MT205490 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356631543
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2011
Last updated in NPPESMay 10, 2015

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Childrens Health Care Associates Inc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia