Organization Active NPI

Faris K. Azar, M.D., PLLC

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1316501505
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
FARIS K. AZAR, M.D., PLLC
Practice address
3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361
Phone
(561) 799-9559
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Faris K Azar, MDNPI 1215279625
Title
Owner
Phone
(561) 799-9559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361

Mailing address

3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191211001896 FL Part B Supplier - Clinic/Group Practice 3577996289 Receives reassigned benefits from 1 practitioner
Practice locations: Mangonia Park, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1316501505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD STE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD STE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104361",
            "telephone_number": "561-799-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIS K. AZAR, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-799-9559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.