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

Gordon Thomas Fahey Jr., MD

Individual provider Surgery Physician · NPI 1457323446

Gordon Thomas Fahey Jr., MD is a General Surgery in Lodi, California. Graduated from Medical College of Georgia School of Medicine in 2000, 26 years ago. Practices with Marshall Medical Center, a 171-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Medical College of Georgia School of Medicine
Licensed in
CA
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

999 S Fairmont Ave Ste 100
Lodi, CA 95240-5100
Phone: (209) 334-2010
Fax: (209) 334-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A78020 (CA)

Record details

NPI number1457323446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Marshall Medical Center — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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