Fawzi Fawaz, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME82523 Issued in FL

Practice address

962 US Highway 331 S
Defuniak Springs, FL 32435-3372

Phone

(850) 951-8800

Fax

(850) 951-0203

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: General Surgery

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Fawaz Medical and Surgical Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Defuniak Springs, FL
  • NPI 1801207626
  Medicare reassignment NPD
• Stone Surgery Clinic

  • Surgery Physician
  • Defuniak Springs, FL
  • NPI 1982728929
  NPD (past) Authorized official
• Fawaz Medical & Surgical Clinic

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Defuniak SPGS, FL
  • NPI 1447477484
  NPD (past)
• Urgent Care of Long Beach LLC

  • Family Medicine Physician
  • Long Beach, MS
  • NPI 1750592036
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1932283389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353372",
            "telephone_number": "850-951-8800",
            "fax_number": "850-951-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353372",
            "telephone_number": "850-951-8800",
            "fax_number": "850-951-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "FAWZI",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82523",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME82523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Medical Services Inc
• Emerald Springs Family Counseling LLC
• Donna Shepherd Ennis, NURSE PRACTITIONER
• Joe R. Evans III, O.D.
• Fawaz Medical and Surgical Clinic, LLC
• Patricia A Ferman, MS, RD, LD
• Maria Loreto Fernandez Puig
• Kendall Lynton Fields, PHD, LMHC
• Fisher Pharmacy, Inc
• Meredith Ariel Flanagan, NP

• Family Medicine Physician in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.