DR. AYAD A. FARJO (NPI# 1649273947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273947 |
| Entity Type | Individual |
| Full Name | DR. AYAD A. FARJO |
| Credential | M.D. |
| Practice Address |
2305 Genoa Business Park Dr Suite 250 Brighton MI 48114-7004 |
| Practice Telephone | 8104942020 |
| Practice Fax Number | 8104940127 |
| Mailing Telephone | 8104942020 |
| Mailing Fax Number | 8104940127 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 34089 | IA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 4301068609 | MI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 45989-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
45989-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
34089 | IA | Allopathic & Osteopathic Physicians |
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
4301068609 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | PHYSICIAN LICENSE | 34089 | 01 |
| WI | 34255200 | 05 | |
| WI | STATE LICENSE NUMBER | 45989-020 | 01 |
| MI | BCBSM PIN# | 18-0-47-1724-1 | 01 |
| MI | PHYSICIAN LICENSE | 4301068609 | 01 |
| MI | 4865295-10 | 05 | |
| MI | CONTROLLED SUBSTNCE LCNSE | 5315025069 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7949 N Canton Center Rd, Canton, MI 481871533 | 7344597850 |
| Street Address |
2305 GENOA BUSINESS PARK DR SUITE 250 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
| 1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
| 1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
| 1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
| 1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
| 1093028540 | Nicole Marie Clement | Physical Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2010-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467460014 | Leslie T Emmert-buck | Ophthalmology | 3100 Cross Creek Pkwy Ste 130, Auburn Hills, MI 48326-2775 | 2006-08-03 |
Please comment or provide details below to improve the information on DR. AYAD A. FARJO.
| 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.