Anthony J Fava, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AL14852 Issued in AL

Legal business name

ANTHONY J FAVA, MD PC

Practice address

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706

Phone

(256) 832-4051

Fax

(256) 832-4092

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Joseph Fava, M.D.NPI 1295703973

Title

Owner

Phone

(256) 832-4051

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Joseph Fava, M.D.

  • General Practice Physician
  • Anniston, AL
  • NPI 1295703973
  Authorized official Same address or phone

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1306142161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-832-4051",
            "fax_number": "256-832-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-832-4051",
            "fax_number": "256-832-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J FAVA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "FAVA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-832-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "AL14852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009918040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anniston Urological Associates, PC
• Anniston Wellness Center PC
• Adeoye Akimtola Aremu, M.D.
• Aristo ER - Anniston, LLC
• Rene Arnold, PHARM. D
• Stephanie Arnold
• Christian Gabrielle Arrington, CRNP

• Primary Care Clinic/Center in Anniston, AL
• Providers in Anniston, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.