Organization Active NPI

Edward H. Farrior, MD, PA

  • Plastic and Reconstructive Surgery Physician
  • Tampa, FL
National Provider Identifier
1326416413
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME123364 Issued in FL
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

Updated by the provider on Oct 28, 2015

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)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0007X ME50318 FL
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1012085Farrior Facial Plastic Surgery Center2908 W Azeele St, Tampa, FL 33609Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.