Farouq A Al-Hamdan, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MD 00036974 Issued in WA

Practice address

119 S 14TH St
Mount Vernon, WA 98274-4114

Phone

(713) 553-3944

NPI assigned

Oct 11, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine Science Institute, Inc, PC

  • Orthopaedic Surgery of the Spine Physician
  • Mount Vernon, WA
  • NPI 1891007845
  Authorized official Same address or phone
• Ipp PC

  dba Interventional Pain Program, Ericson Hand and Nerve Center

  • Specialist
  • Bothell, WA
  • NPI 1225114929
  NPD (past)
• Bone & Joint Clinic S.C.

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1902850696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003904434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 14TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744114",
            "telephone_number": "713-553-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 14TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744114",
            "telephone_number": "713-553-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAMDAN",
        "first_name": "FAROUQ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WI",
            "license": "41123",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD  00036974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-456-828-3",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34262200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Aguado, RN
• Carlos Aguero, P.A.
• Cynthia Guadalupe Aguirre
• Ahmed and Kang PS (Sunrise Dental of Mount Vernon)
• Lori A Ahrens, MD
• Sankar S Alagugurusamy, MD
• Lauren Lee Albritton, BA
• Steven Benjamin Alcocer, PA-C
• Zowie Aleshire, LMHC
• All Smilez, Inc. (All Smilez)

• Orthopaedic Surgery of the Spine Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Orthopaedic Surgery of the Spine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.