DR. VICTOR SAMIR FARIS (NPI# 1275736936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275736936 |
| Entity Type | Individual |
| Full Name | DR. VICTOR SAMIR FARIS |
| Credential | M.D. |
| Practice Address |
1010 N Campbell Rd Suite #3 Royal Oak MI 48067-1570 |
| Practice Telephone | 2488508395 |
| Practice Fax Number | 2488508495 |
| Mailing Telephone | 2488508395 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 1865828 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
1865828 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1275736936 | 05 | |
| MI | BCBS IND | 0809306492 | 01 |
| Street Address |
1010 N CAMPBELL RD SUITE #3 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043754286 | Taylor Dillman | Physician Assistant | 1010 N Campbell Rd, Suite 3, Royal Oak, MI 48067-1570 | 2016-12-07 |
| 1861866980 | City Urgent Care PC | Family Medicine | 1010 N Campbell Rd, Ste 3, Royal Oak, MI 48067-1570 | 2015-12-01 |
| 1740696228 | Heidi Rebecca Merritt | Dentist | 1010 N Campbell Rd, Royal Oak, MI 48067-1570 | 2014-07-07 |
| 1457796971 | Campbell Pediatrics | Pediatrics | 1010 N Campbell Rd, Suite 5, Royal Oak, MI 48067-1570 | 2013-05-10 |
| 1144542390 | Cedar Medical Services PC | Clinic/Center | 1010 N Campbell Rd, Suite 3, Royal Oak, MI 48067-1570 | 2010-02-15 |
| 1285891036 | Cedar Medical Services PC | Family Medicine | 1010 N Campbell Rd, Suite 3, Royal Oak, MI 48067-1570 | 2008-05-20 |
| 1417122573 | Marc Weitzman,dpm PC | Clinic/Center | 1010 N Campbell Rd, 2, Royal Oak, MI 48067-1570 | 2008-04-29 |
| 1013106780 | Gregory Albert Gorga | Dentist | 1010 N Campbell Rd, Suite 2, Royal Oak, MI 48067-1570 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413236 | Sports and Regenerative Medicine Pllc | Family Medicine | 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 | 2018-04-05 |
| 1982138442 | Stephen Michael Spadafore | Family Medicine | 2951 Earhart Rd, Ann Arbor, MI 48105-9728 | 2017-04-11 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1306080213 | Caroline E Beall | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2009-04-22 |
| 1104038629 | Robert Edward Poley | Family Medicine | 15959 Hall Rd Ste 405, Macomb, MI 48044 | 2007-05-04 |
| 1063563187 | Lee Stephen Fruman | Family Medicine | 24670 S Cromwell Dr, Franklin, MI 48025-1644 | 2007-01-15 |
| 1366505802 | Sports Medicine Associates,plc | Family Medicine | 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 | 2006-12-18 |
| 1538220561 | Thomas K Jamieson | Family Medicine | 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 | 2006-12-13 |
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.