Faircloth Surgical Services

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FAIRCLOTH SURGICAL SERVICES

Practice address

4811 NW 103Rd Dr
Coral Springs, FL 33076-1725

Phone

(954) 270-9673

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Ieda FairclothNPI 1730600453

Title

President/Ceo

Phone

(954) 270-9673

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ieda Schumacher Faircloth, SA-C

  • Surgery Physician
  • Coral Springs, FL
  • NPI 1730600453
  NPD Authorized official

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063939676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 NW 103RD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761725",
            "telephone_number": "954-270-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 NW 103RD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761725",
            "telephone_number": "954-270-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOTH SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "IEDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-270-9673"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F. Leigh Phillips, III, MD, PA
• Fabiola M. Liendo, DDS, Corp.
• Craig Steven Fabrikant, PH.D.
• Catherine Facciolli, L.AC
• Cidney Factor, PA-C
• Ieda Schumacher Faircloth, SA-C
• Faith Home Care, Inc.
• Pamela Viviana Fajardo
• Christina Fallacaro, CNM MSN ARNP
• Linea Falter, APRN

• Ambulatory Surgical Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.