Active NPI
Zouheir Fares
- Surgery Physician
- Grand Blanc, MI
National Provider Identifier
1255410940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101008104
- Legal business name
- ZOUHEIR FARES
- Doing business as
- Beecher Surgical Associates
- Practice address
- 8384 Holly Rd
Suite 1
Grand Blanc, MI 48439-1976 - Phone
- (810) 733-8400
- Fax
- (810) 733-2634
- NPI assigned
- Nov 3, 2006
- Reactivated
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zouheir Fares, DO
- Title
- Owner
- Phone
- (810) 733-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101008104 | MI | Primary |
Addresses
Primary practice location
8384 Holly Rd
Suite 1
Grand Blanc, MI 48439-1976
Mailing address
8384 Holly Rd Ste 1
Grand Blanc, MI 48439-1974
Phone (810) 733-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252501065 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1931600 | Medicaid | MI | TYPE 11 |
Other names 1
- Beecher Surgical Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388361600000",
"number": "1255410940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8384 HOLLY RD STE 1",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484391974",
"telephone_number": "810-733-8400",
"fax_number": "810-733-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8384 HOLLY RD",
"address_2": "SUITE 1",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484391976",
"telephone_number": "810-733-8400",
"fax_number": "810-733-2634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZOUHEIR FARES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2013-12-30",
"deactivation_date": "2007-02-28",
"reactivation_date": "2007-10-11",
"status": "A",
"authorized_official_last_name": "FARES",
"authorized_official_first_name": "ZOUHEIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-733-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "5101008104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0252501065",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": "TYPE 11",
"identifier": "1931600",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beecher Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.