Joan Azoury, M.D
Individual provider Active NPI Obstetrics & Gynecology Physician · Farmington, MO
NPI 1154771715 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1154771715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2019043574 (MO)
- Practice address
- 1103 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 756-6751
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807000511 | MO | Practitioner - Obstetrics/Gynecology | 6406149582 | Reassigns benefits to 1 organization |
| I20250401003324 | VA | Practitioner - Obstetrics/Gynecology | 6406149582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116029541 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Health Center | Current |
Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Parkland Health Center | Current |
Accepting new patients | |
| Physician Groups LC | Obstetrics & Gynecology | Past | Accepting new patients |
| Parkland Health Center | Past | Accepting new patients |
Locations
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
Interoperability endpoints
- https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0116029541 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 2019043574 | MO | Yes |
Addresses
Primary practice location
1103 W Liberty St
Farmington, MO 63640-1921
Mailing address
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Farmington, MO
- Audiology & Hearing Center of Farmington, Inc
- Avalon Obstetrics and Gynecology, P.C.
- Troy Constant Avendanio
- Axes Physical Therapy, LLC
- Sujatha R Ayyagari
- Lauren Gabrielle Azoury
- Christine Bacon
- Bailey Street Residential Care 1
- Aaron Baker
- Cheryl June Ballew
All providers in Farmington, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.