South Otolaryngology-Head and Neck Surgery, LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MD.32237 Issued in AL

Legal business name

SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC

Practice address

2126 W Roy Parker Rd Ste 207
Ozark, AL 36360-8566

Phone

(334) 443-0335

NPI assigned

Mar 4, 2014

Last updated

Apr 27, 2020By 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. Tarik Y Farrag, MD

Title

President/Physician

Phone

(443) 854-6019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1881019537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD STE 207",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "334-443-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD STE 207",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "334-443-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271822",
            "country_code": "US",
            "telephone_number": "334-443-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "FARRAG",
        "authorized_official_first_name": "TARIK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "443-854-6019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "MD.32237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecka Smith, MSOT, OTR/L
• Leonard Joseph Smolinski, MS LPC
• Benjamin L Sneed, CRNP
• South Alabama Eye Care, P.C.
• South Alabama Orthopedics & Sports Medicine, PC
• Southern Sleep Clinics LLC
• Southland Hospitalist at Ozark, PL
• Southland Medical Solutions of Ozark, PL
• Hannah Grace Spooner
• State of Alabama

• Otolaryngology/Facial Plastic Surgery Physician in Ozark, AL
• Providers in Ozark, AL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.