Individual provider Active NPI

Faryar Moshtaghi, D.O.

  • Surgery Physician
  • Circleville, OH
National Provider Identifier
1487635405
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34002333 Issued in OH
Practice address
600 N Pickaway St
Suite 203
Circleville, OH 43113-1447
Phone
(740) 420-8365
Fax
(740) 420-8340
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34002333 OH Primary

Addresses

Primary practice location

600 N Pickaway St
Suite 203
Circleville, OH 43113-1447

Mailing address

600 N Pickaway St
Suite 203
Circleville, OH 43113-1447
Phone (740) 420-8365

Other identifiers 1

IdentifierTypeStateIssuer
0276964MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34002333OHMDSurgery Physician
2333OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation 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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1487635405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 203",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131447",
            "telephone_number": "740-420-8365",
            "fax_number": "740-420-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 203",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131447",
            "telephone_number": "740-420-8365",
            "fax_number": "740-420-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHTAGHI",
        "first_name": "FARYAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34002333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.