Farjam Farzam, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME116217 Issued in FL

Practice address

12959 Palms West Dr
Suite 120
Loxahatchee, FL 33470-4937

Phone

(561) 753-8888

Fax

(561) 795-5004

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Edwin Liu, MD PA

  • Neurology with Special Qualifications in Child Neurology Physician
  • Loxahatchee, FL
  • NPI 1427250455
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1497850556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR",
            "address_2": "SUITE 120",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704937",
            "telephone_number": "561-753-8888",
            "fax_number": "561-795-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR",
            "address_2": "SUITE 120",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704937",
            "telephone_number": "561-753-8888",
            "fax_number": "561-795-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAM",
        "first_name": "FARJAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME116217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64096589",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009333600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Arthritis Associates
• Family Arthritis Associates, LLC
• Family Medicine of Palms West, Inc.
• Far East Acupuncture, LLC
• Barbara D. Farmer, MSW
• Father Flanagan'S Boys Town Florida, Inc
• Jason Feather, DO
• Kui-Tzu Victoria Feng, M.D., M.P.H.
• Sophia Ferguson, LPN
• Yenisey Fernandez, BCBA

• Neurology with Special Qualifications in Child Neurology Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.