NPIMap

Organization Active NPI

Amir H. Fatemi, M.D., LLC

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1013159110
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME34353 Issued in FL
Legal business name
AMIR H. FATEMI, M.D., LLC
Practice address
6934 Saint Augustine Rd
Jacksonville, FL 32217-2820
Phone
(904) 737-9393
Fax
(904) 737-9263
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Dr. Amir Hossein Fatemi, M.D.
Title
Owner
Phone
(904) 737-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME34353 FL Primary

Addresses

Primary practice location

6934 Saint Augustine Rd
Jacksonville, FL 32217-2820

Mailing address

6934 Saint Augustine Rd
Jacksonville, FL 32217-2820
Phone (904) 737-9393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1013159110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172820",
            "telephone_number": "904-737-9393",
            "fax_number": "904-737-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172820",
            "telephone_number": "904-737-9393",
            "fax_number": "904-737-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR H. FATEMI, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "FATEMI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-737-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME34353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.