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ANTHONY J FAVA MD PC NPI 1306142161


NPI Information

NPI: 1306142161
Provider Name: ANTHONY J FAVA, MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1425 GREENBRIER DEAR RD
ANNISTON, AL
ZIP 36207
Phone: (256) 832-4051
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ANTHONY J FAVA, MD PC is a primary care clinic center in Anniston, AL. ANTHONY J FAVA, MD PC NPI is 1306142161. The provider is registered as an organization entity type.

The provider's business location address is:

1425 GREENBRIER DEAR RD
ANNISTON, AL
ZIP 36207-706
Phone: (256) 832-4051
Fax: (256) 832-4092

The provider's authorized official is Anthony Joseph Fava .
The authorized official title is Owner and has the following contact phone number (256) 832-4051.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 1/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareAL14852ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009918040MEDICAIDALABAMA
2000051103MEDICARE PINALABAMA
3C-36368MEDICARE UPINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.