John M Faggard III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M6916 Issued in ID

Legal business name

JOHN M FAGGARD III, MD

Practice address

1005 Highway 2 W
Sandpoint, ID 83864-1702

Phone

(208) 265-5916

Fax

(208) 255-2066

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

John M Faggard III, MD

Title

Owner

Phone

(208) 265-5916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1104024397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HIGHWAY 2 W",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641702",
            "telephone_number": "208-265-5916",
            "fax_number": "208-255-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HIGHWAY 2 W",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641702",
            "telephone_number": "208-265-5916",
            "fax_number": "208-255-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M FAGGARD III, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "FAGGARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-265-5916",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M6916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.