Muhamad Mazen Festok, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16254 Issued in AL

Practice address

1300 Pelham Rd S
Jacksonville, AL 36265-3032

Phone

(256) 435-5325

Fax

(256) 435-8431

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: muhamad.festok@festped.direct.medconnect-inc.com

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

• Dr Muhamad Mazen Festok

  • Clinic/Center
  • Jacksonville, AL
  • NPI 1235316514
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1083726202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 B 2ND AVE SW",
            "address_2": "B",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "36265",
            "telephone_number": "256-435-5325",
            "fax_number": "256-435-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653032",
            "telephone_number": "256-435-5325",
            "fax_number": "256-435-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTOK",
        "first_name": "MUHAMAD",
        "middle_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "16254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000085813",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate M E Counseling, LLC
• Stacy Ellett, LPN
• Eric Lafayette D.M.D LLC
• Bonne L Evans
• Family Practice of Jacksonville PC
• Lisa T Foney, CCMA
• Diana C. Ford, MA, LPC
• Garrett Counseling and Consulting
• Ashley Lynn Garrett, LPC, MS, ED.S
• Ellie Kimiko Garrett

• Pediatrics Physician in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.