Active NPI
Steven D. Fayne, M.D. P.a.
- Gastroenterology Physician
- Sunrise, FL
National Provider Identifier
1720385362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0042650
- Legal business name
- STEVEN D. FAYNE, M.D. P.A.
- Practice address
- 8890 W Oakland Park Blvd
100
Sunrise, FL 33351-7235 - Phone
- (954) 741-3305
- Fax
- (954) 741-3306
- NPI assigned
- Feb 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Bradley
- Title
- Office Manager
- Phone
- (954) 741-3305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0042650 | FL | Primary |
Addresses
Primary practice location
8890 W Oakland Park Blvd
100
Sunrise, FL 33351-7235
Mailing address
8890 W Oakland Park Blvd
100
Sunrise, FL 33351-7235
Phone (954) 741-3305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Sunrise, FL
- NPI 1821092701
-
- Anatomic Pathology & Clinical Pathology Physician
- Palm Beach Gardens, FL
- NPI 1154360733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297900800000",
"number": "1720385362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 W OAKLAND PARK BLVD",
"address_2": "100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333517235",
"telephone_number": "954-741-3305",
"fax_number": "954-741-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8890 W OAKLAND PARK BLVD",
"address_2": "100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333517235",
"telephone_number": "954-741-3305",
"fax_number": "954-741-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN D. FAYNE, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-741-3305"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0042650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.