Fawzi Souheil Farha, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME92741 Issued in FL

Practice address

206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107

Phone

(904) 990-0777

Fax

(888) 464-0609

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Surgery

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fawzi Farha MD IncGroup PAC ID 2860809266, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHGECD
• FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
• FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD

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.

• Fawzi Farha MD Inc

  • Surgery Physician
  • Saint Augustine, FL
  • NPI 1912599515
  Medicare reassignment Care Compare group NPD Authorized official
• First Coast Surgical Associates Inc

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1548249543
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Surgery

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1477532463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-990-0777",
            "fax_number": "888-464-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-990-0777",
            "fax_number": "888-464-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHA",
        "first_name": "FAWZI",
        "middle_name": "SOUHEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "I40882",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME92741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Care of St Augustine PA
• Sami S Farag, PHARMACIST
• Benjamin Farca
• Farghaly Medical, PLLC
• Basant M Farghaly, M.D.
• Jawad Samir Farhat, MD
• Jeremiah Michael Farias, RDN
• Angela Farr, DPT PT
• Erykah Lauryn Farrant
• Elizabeth Keri Anne Farrell, LMT

• Surgery Physician in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.