DR. AMIR H FAYYAZI (NPI# 1669476081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669476081 |
| Entity Type | Individual |
| Full Name | DR. AMIR H FAYYAZI |
| Credential | MD |
| Practice Address |
250 Cetronia Rd Allentown PA 18104-9147 |
| Mailing Address |
250 Cetronia Rd Suite 303 Allentown PA 18104-9147 |
| Practice Telephone | 6109736200 |
| Practice Fax Number | 8666440894 |
| Mailing Telephone | 6109736200 |
| Mailing Fax Number | 8666440894 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD073263L | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 232814 | NY | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD073263L | PA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
232814 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 232814 | 01 |
| PA | 1019835830001 | 05 | |
| NY | 02567926 | 05 |
| Street Address |
250 CETRONIA RD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741812 | Amy Devenuto | Physical Therapist | 250 Cetronia Rd, Suite 210, Allentown, PA 18104-9147 | 2017-03-23 |
| 1245788280 | Betsy Green | Occupational Therapist | 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 | 2016-09-20 |
| 1154879468 | Lauren Cook | Occupational Therapist | 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 | 2016-09-15 |
| 1578922803 | Michael Sidari | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104 | 2016-02-15 |
| 1184026874 | Steven J Rogalski | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-24 |
| 1568863116 | Maryjane Spotts Cerrone | Clinical Nurse Specialist | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-12 |
| 1184025447 | Christine Marie Ciaverelli | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-09-05 |
| 1376942003 | Jonna P Trexler | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-08-19 |
| 1740606359 | Onyedikachukwu K Momah | Physician Assistant | 250 Cetronia Rd, Allentown, PA 18104-9147 | 2014-03-07 |
| 1457776650 | Lehigh Valley Hospital | Durable Medical Equipment & Medical Supplies | 250 Cetronia Rd, Suite 210, Allentown, PA 18104-9147 | 2014-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881918704 | Kevin Paul O'donnell | Orthopaedic Surgery | 2200 Hamilton St Ste 214, Allentown, PA 18104-6329 | 2010-03-22 |
| 1699930776 | Jennifer Anne Banzhof | Orthopaedic Surgery | 501 Cetronia Rd., Allentown, PA 18104 | 2008-07-28 |
| 1588826770 | David B Sussman | Orthopaedic Surgery | 214 N 31st St, Allentown, PA 18104-5308 | 2008-06-27 |
| 1255429049 | Charles Ray Levine | Orthopaedic Surgery | 450 Chew Street, The Signal Center, Allentown, PA 18102 | 2006-10-10 |
| 1770515520 | Scott E Sexton | Orthopaedic Surgery | 1250 South Cedar Crest Blvd, Suite 110, Allentown, PA 18103 | 2006-07-06 |
| 1619969987 | Jeffrey R. Mcconnell | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2005-08-22 |
| 1598160905 | Lehigh Valley Physician Group | Orthopaedic Surgery | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2014-10-28 |
| 1437564556 | Robert Paul Wessel IIi | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2014-06-26 |
| 1619242195 | Jonathon Mitchell Brown | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2012-03-15 |
| 1699092858 | Paul Anderson Sibley | Orthopaedic Surgery | 1210 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6229 | 2010-04-28 |
| Find all providers in ALLENTOWN | ||||
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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.