Fawzi Farha (NPI# 1477532463, PAC ID# 6305870254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1477532463 |
| PAC ID by PECOS | 6305870254 |
| Professional Enrollment ID | I20050921000242 |
| Full Name | Fawzi Farha |
| Organization Legal Name | FIRST COAST SURGICAL ASSOCIATIONS INC. |
| Address |
6067 Kennerly Rd Jacksonville FL 32216-4305 |
| Phone Number | 9047317131 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5395779359 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101310 | SHANDS STARKE REGIONAL MEDICAL CENTER |
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 6067 Kennerly Rd, Jacksonville, FL 32216-4305 | 9047317131 | FIRST COAST SURGICAL ASSOCIATIONS INC. |
| 922 E Call St, Starke, FL 32091-3616 | 9043682300 | STARKE HMA MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 93% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 23% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 23% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 88% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 88% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 100% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 100% |
| Organization Legal Name | FIRST COAST SURGICAL ASSOCIATIONS INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bassam George Rizk | General Surgery | First Coast Surgical Associations Inc. | 2140 Kingsley Ave, Suite 11, Orange Park, FL 32073-5129 |
| Street Address |
6067 KENNERLY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-4305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JACKSONVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Fawzi Farha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.