Ieda Schumacher Faircloth, SA-C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

16-717 Issued in WI

Practice address

4811 NW 103 Drive
Coral Springs, FL 33076

Phone

(954) 270-9673

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Faircloth Surgical Services

  • Ambulatory Surgical Clinic/Center
  • Coral Springs, FL
  • NPI 1063939676
  NPD Authorized official

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730600453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 NW 103RD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761725",
            "telephone_number": "954-270-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 NW 103 DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "954-270-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "IEDA",
        "middle_name": "SCHUMACHER",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "16-717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola M. Liendo, DDS, Corp.
• Craig Steven Fabrikant, PH.D.
• Catherine Facciolli, L.AC
• Cidney Factor, PA-C
• Faircloth Surgical Services
• Faith Home Care, Inc.
• Pamela Viviana Fajardo
• Christina Fallacaro, CNM MSN ARNP
• Linea Falter, APRN
• Sophia Angelique Falzone

• Surgery Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.