Adam J Farber MD PLC
Organization Active NPI Specialist · Tempe, AZ
NPI 1851609192 · NPPES record last updated May 4, 2015
Key facts
- NPI
- 1851609192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 40472 (AZ)
- Legal business name
- ADAM J FARBER MD PLC
- Practice address
- 1215 W Rio Salado Pkwy
Suite 105
Tempe, AZ 85281-2891 - Phone
- (480) 219-3342
- Fax
- (480) 219-3271
- NPI assigned
- Sep 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Adam J Farber, MD
- Title
- Owner
- Phone
- (480) 219-3342
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110511000852 | AZ | Part B Supplier - Clinic/Group Practice | 4880870682 |
Receives reassigned benefits from 1 practitioner Practice locations: Tempe, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 40472 | AZ | Yes |
Addresses
Primary practice location
1215 W Rio Salado Pkwy
Suite 105
Tempe, AZ 85281-2891
Mailing address
1215 W Rio Salado Pkwy
Suite 105
Tempe, AZ 85281-2891
Phone (480) 219-3342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348253 | Medicaid | AZ |
Other names
- Phoenix Shoulder and Knee
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.