Individual provider Active NPI

Tahir Firdaus, M.D.

  • Specialist
  • Youngstown, OH
National Provider Identifier
1346216462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35039403 Issued in OH
Practice address
550 Parmalee Ave
Suite 410
Youngstown, OH 44510-1602
Phone
(133) 074-3340
Fax
(133) 074-3137
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35039403 OH Primary

Addresses

Primary practice location

550 Parmalee Ave
Suite 410
Youngstown, OH 44510-1602

Mailing address

550 Parmalee Ave
Suite 410
Youngstown, OH 44510-1602
Phone (133) 074-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000223 OH Practitioner - Thoracic Surgery 1658301890 Practice locations: Youngstown, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35039403OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence I. Schmetterer, MD, Facs, Inc. Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346216462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARMALEE AVE",
            "address_2": "SUITE 410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101602",
            "telephone_number": "133-074-3340",
            "fax_number": "133-074-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARMALEE AVE",
            "address_2": "SUITE 410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101602",
            "telephone_number": "133-074-3340",
            "fax_number": "133-074-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRDAUS",
        "first_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35039403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.