MR. FARZAD FARYABI (NPI# 1649364860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649364860 |
| Entity Type | Individual |
| Full Name | MR. FARZAD FARYABI |
| Credential | DPM |
| Practice Address |
2475 Lakeland Drive Suite B Jackson MS 39232 |
| Practice Telephone | 6019363445 |
| Practice Fax Number | 6019367434 |
| Mailing Telephone | 6019363445 |
| Mailing Fax Number | 6019367434 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 80147 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120443 | 05 | |
| PALMETTO DME | 4354890001 | 01 |
| Street Address |
2475 LAKELAND DRIVE SUITE B |
| City | JACKSON |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1124344478 | Darryl J Martins | Podiatrist | 100 S Cooper St, Jackson, MI 49201-1598 | 2010-04-12 |
| 1174742530 | Mobile Physicians LLC | Podiatrist | 7 Colts Ct, Jackson, NJ 08527-4492 | 2007-04-24 |
| 1033286307 | Lowery H Huff | Podiatrist | 500 0 Woodrow Wilson Ave, Jackson, MS 39216 | 2006-11-29 |
| 1164592044 | Bryan Tipton Sullivan | Podiatrist | 1915 Dunbarton Drive, Jackson, MS 39216 | 2006-11-08 |
| 1700977378 | Family Foot Care Center | Podiatrist | 2033 Greystone Office Park, Jackson, TN 38305 | 2006-09-27 |
| 1700989118 | David Lee Dutra | Podiatrist | 613 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-09-07 |
| 1851339899 | Center for Diabetes Foot Care | Podiatrist | 820 Cooper Rd, Suite I, Jackson, MS 39212-4099 | 2006-06-03 |
| 1689636169 | Jackson Foot and Ankle Clinic | Podiatrist | 345 E Main St, Suite C, Jackson, OH 45640-1779 | 2006-04-03 |
| 1952370132 | Keith Brian Rosenthal | Podiatrist | 180 N County Line Rd, Ste H, Jackson, NJ 08527-4421 | 2006-03-17 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.