Organization Active NPI

Zouheir Fares

  • Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1255410940
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101008104 Issued in MI
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

Updated by the provider on Dec 30, 2013

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0252501065OtherMABLUE CROSS BLUE SHIELD
1931600MedicaidMITYPE 11

Other names 1

  • Beecher Surgical Associates Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.