Active NPI
Edward H. Farrior, MD, PA
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
National Provider Identifier
1326416413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME123364
- Legal business name
- EDWARD H. FARRIOR, MD, PA
- Practice address
- 2908 W Azeele St
Tampa, FL 33609-3110 - Phone
- (813) 875-3223
- Fax
- (813) 875-5586
- NPI assigned
- Sep 8, 2015
- 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
- Edward H Farrior, M.D.
- Title
- Owner/Medical Director
- Phone
- (813) 875-3223
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ME50318 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME123364 | FL | Primary |
Addresses
Primary practice location
2908 W Azeele St
Tampa, FL 33609-3110
Mailing address
2908 W Azeele St
Tampa, FL 33609-3110
Phone (813) 875-3223
Other names 1
- Farrior Plastic and Cosmetic Surgery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1012085 | Farrior Facial Plastic Surgery Center | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2908 W Azeele St
Tampa, FL 33609
Phone (813) 278-1012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1326416413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093110",
"telephone_number": "813-875-3223",
"fax_number": "813-875-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093110",
"telephone_number": "813-875-3223",
"fax_number": "813-875-5586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD H. FARRIOR, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "FARRIOR",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-875-3223",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "FL",
"license": "ME50318",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME123364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Farrior Plastic and Cosmetic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.