Faris J. Fakhoury, MD, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME106083 Issued in FL

Legal business name

FARIS J. FAKHOURY, MD, PA

Practice address

10115 Forest Hill Blvd
Suite 405
Wellington, FL 33414-3105

Phone

(561) 791-3070

Fax

(561) 791-3080

NPI assigned

Jul 31, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faris J. Fakhoury, M.D.NPI 1730352535

Title

President

Phone

(561) 791-3070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Faris J. Fakhoury, MD

  • Neurological Surgery Physician
  • Wellington, FL
  • NPI 1730352535

  6406004084

  Same PAC ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDFJBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faris J. Fakhoury, MD

  • Neurological Surgery Physician
  • Wellington, FL
  • NPI 1730352535
  Medicare reassignment NPD Authorized official
• Ariel Le, MMS, PA-C

  • Physician Assistant
  • Wellington, FL
  • NPI 1730690991
  Medicare reassignment

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1508112202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 S CROWN WAY",
            "address_2": "SUITE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148792",
            "telephone_number": "561-795-9150",
            "fax_number": "561-798-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-791-3070",
            "fax_number": "561-791-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIS J. FAKHOURY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-791-3070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME106083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Physical Therapy Incorporated
• Famlee First Clinical Services LLC
• Miriam Halim Farag, O.D.
• Farhi Family Chiropractic LLC
• Moshe Farhi, DC
• Jessica Farrone
• Mildred R Fecher, LMT
• Jasmine D Federick, LCSW
• Joy Elyn Feinberg, M.A., OTR/L
• Juan Ricardo Feliciano

• Neurological Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.