Fairmont Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD429693 Issued in PA

Legal business name

FAIRMONT MEDICAL CENTER, LLC

Practice address

1720 W Fairmont St
Allentown, PA 18104-3118

Phone

(484) 788-4991

NPI assigned

Mar 4, 2016

Last updated

Mar 4, 2016By 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

Dr. Edmond Obeid, MD

Title

Owner

Phone

(484) 788-4991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1710347638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043118",
            "telephone_number": "484-788-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043118",
            "telephone_number": "484-788-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-788-4991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD429693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hagar Fadel
• Amber Fagan, BCBA
• Kara Rose Fagerstrom, PAC
• Ellen Fairchild
• Fairmont Dental Associates PC
• Ali Fakhimi
• Stephen P Falatyn, MD
• Luke Falkenholm, PA
• Hazel Falmarin
• Anthony C Falvello, DO

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.