Active NPI
Stone Surgery Clinic
- Surgery Physician
- Defuniak Springs, FL
National Provider Identifier
1982728929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 82523
- Legal business name
- STONE SURGERY CLINIC
- Practice address
- 962 US 331 South
Defuniak Springs, FL 32435 - Phone
- (950) 951-8800
- Fax
- (950) 951-0203
- NPI assigned
- Mar 16, 2007
- 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
- Dr. Fawzi Fawaz, M.D.
- Title
- Owner
- Phone
- (850) 951-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 82523 | FL | Primary |
Addresses
Primary practice location
962 US 331 South
Defuniak Springs, FL 32435
Mailing address
962 US Hwy 331 South
Defuniak Springs, FL 32435
Phone (950) 951-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261312300 | Medicaid | FL | |
| 1932283389 | Other | FL | NPI FOR SS# |
National Provider Directory
National Provider Directory- Tax ID family
- Fawaz Medical Surgical Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Defuniak SPGS, FL
- NPI 1447477484
-
dba Fawaz Medical & Surgical Clinic
- Nurse Practitioner
- Defuniak Springs, FL
- NPI 1073718664
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Edgewater, FL
- NPI 1174594295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1982728929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 US HWY 331 SOUTH",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "32435",
"telephone_number": "950-951-8800",
"fax_number": "950-951-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 US 331 SOUTH",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "32435",
"telephone_number": "950-951-8800",
"fax_number": "950-951-0203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE SURGERY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "FAWAZ",
"authorized_official_first_name": "FAWZI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-951-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "82523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261312300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR SS#",
"identifier": "1932283389",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.