Fardin Djafari MD PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FARDIN DJAFARI MD PLLC

Practice address

1631 11TH Street
Wichita Falls, TX 76301

Phone

(940) 687-4700

Fax

(940) 687-5000

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Fardin S Djafari, M.D.NPI 1043298391

Title

Owner/Sole Member

Phone

(940) 687-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fardin Djafari, M.D.

  • Cardiovascular Disease Physician
  • Wichita Falls, TX
  • NPI 1043298391
  Medicare reassignment NPD Authorized official
• Henry Richard Sanchez-Leal, M.D.

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1639160526
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1588974380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-687-4700",
            "fax_number": "940-687-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-687-4700",
            "fax_number": "940-687-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARDIN DJAFARI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "DJAFARI",
        "authorized_official_first_name": "FARDIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "940-687-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Farmer
• Elizabeth Farr
• Peter Farr, RN, NREMT
• Frederic Orville Farrell, M.D.
• Gary Allen Fashimpar, PHD, LCSW,LMFT

• Cardiovascular Disease Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.