Oscar V Fadul, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

09585 Issued in AL

Practice address

507 Harley St
Scottsboro, AL 35768-4218

Phone

(256) 259-1314

Fax

(256) 259-6703

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1073680179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-1314",
            "fax_number": "256-259-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-1314",
            "fax_number": "256-259-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADUL",
        "first_name": "OSCAR",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "09585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051599042",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112384",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Wesley Knowles MD PC
• Celena English
• Michelle Eschete, ALC
• Emily Louise Estes
• Eyecare Associates, Inc.
• Jessica Fairbanks, COTA/L
• Family First Medicine LLC (Family First Medicine of Scottsboro)
• Family Medicine for Your Family PC
• Brandy Farr
• Fast Pace Medical Clinic PLLC

• General Practice Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.