MICHAEL S FAKHRAEE MD ASSOCIATES (NPI# 1871624031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871624031 |
| Entity Type | Organization |
| Organization Name | MICHAEL S FAKHRAEE MD ASSOCIATES |
| Practice Address |
7500 Central Ave Suite 101 Philadelphia PA 19111-2430 |
| Practice Telephone | 2157288200 |
| Practice Fax Number | 2157253209 |
| Mailing Telephone | 2157288200 |
| Mailing Fax Number | 2157253209 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. MICHAEL S FAKHRAEE (PRESIDENT) |
| Authorized Official Telephone | 2157288200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BC & BS FEDERAL | 400138 | 01 |
| PA | KEYSTONE HEALTH PLAN EAS | 0052487000 | 01 |
| PA | KEYSTONE 65 | 0052487000 | 01 |
| PA | BLUE CROSS & BLUE SHILED | 400138 | 01 |
| PA | INDEPENDENCE BCBS | 400138 | 01 |
| PA | PERSONAL CHOICE BCBS | 400138 | 01 |
| Street Address |
7500 CENTRAL AVE SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931043 | Janice Zingaretti Herman | Nurse Anesthetist, Certified Registered | 7500 Central Ave, Suite 208b, Philadelphia, PA 19111-2430 | 2005-06-09 |
| 1104358332 | Denise Cooper | Technician, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2017-03-28 |
| 1457897779 | La Fortaleza Physical Therapy Center Inc | Occupational Therapist | 7500 Central Ave, Physician Building, Ste 102, Philadelphia, PA 19111-2430 | 2017-01-10 |
| 1740641414 | Temple Physicians Inc | General Practice | 7500 Central Ave, Suite 107a, Philadelphia, PA 19111-2430 | 2016-03-09 |
| 1912372947 | Jaclyn Marie Timoney | Nurse Practitioner | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2015-12-02 |
| 1275903015 | Mylin Diaz | Specialist/Technologist, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2015-10-06 |
| 1124495833 | Temple Physicians Inc | Internal Medicine | 7500 Central Ave, Suite 202, Philadelphia, PA 19111-2430 | 2015-08-28 |
| 1255773875 | John M Bauso | Physical Therapist | 7500 Central Ave, Philadelphia, PA 19111-2430 | 2013-07-24 |
| 1912258476 | Temple Physicians Inc | Dietitian, Registered | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2012-09-25 |
| 1932455565 | Janet M Wong | Nurse Practitioner | 7500 Central Ave, Suite 208, Physicians Office Building, Philadelphia, PA 19111-2430 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215973565 | Michael S Fakhraee | Plastic Surgery | 7500 Central Ave, Suite 101, Philadelphia, PA 19111-2431 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376870147 | Richard G Katz | Plastic Surgery | 1173 Beechwood Blvd, Pittsburgh, PA 15206-4545 | 2009-11-15 |
| 1659438372 | Herbert A Ecker Jr. | Plastic Surgery | 920 Washington Blvd, Williamsport, PA 17701-6151 | 2007-01-02 |
| 1255347977 | Thomas C Jacob Jr. | Plastic Surgery | 1088 West Baltimore Pike, Hcc 2 Suite 2405, Media, PA 19063-5136 | 2006-08-01 |
| 1740289008 | George Peter Zavitsanos | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2005-07-19 |
| 1669809547 | Aesthetic,reconstructive & Hand Surgery, P.C. | Plastic Surgery | 5325 Northgate Dr, Suite 202, Bethlehem, PA 18017-9411 | 2013-10-08 |
| 1326279928 | Jonathan Wing Ming Toy | Plastic Surgery | 3380 Boulevard of The Allies, Suite 180, Pittsburgh, PA 15213-3125 | 2009-07-30 |
| 1972705663 | Jaimie Troyal Shores | Plastic Surgery | 3550 Terrace Street, Division of Plastic Surgery, Suite 683 Scaife Hall, Pittsburgh, PA 15261 | 2007-06-04 |
| 1861543936 | George P Zavitsanos | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2007-01-16 |
| 1578614566 | Plastic & Hand Surgery Ltd | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2007-01-16 |
| 1205844743 | Associates In Plastic Surgery,inc | Plastic Surgery | 1088 W Baltimore Pike, Hcc 2 Suite 2405, Media, PA 19063-5146 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.