DR. FAWAZ M ASHOURI (NPI# 1912967860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912967860 |
| Entity Type | Individual |
| Full Name | DR. FAWAZ M ASHOURI |
| Credential | M.D. |
| Practice Address |
2301 University Blvd W Jacksonville FL 32217 |
| Mailing Address |
2301 University Blvd W Jacksonville FL 32217-2022 |
| Practice Telephone | 9043963700 |
| Practice Fax Number | 9043983871 |
| Mailing Telephone | 9043963700 |
| Mailing Fax Number | 9043983871 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME38972 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 069570000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6690 Crill Ave, Palatka, FL 321773886 | 3863524541 | 3863256100 |
| Street Address |
2301 UNIVERSITY BLVD W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003351867 | Fawaz M Ashouri | Specialist | 2301 University Blvd W, Jacksonville, FL 32217-2022 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859041 | Soroush Bazargani | Urology | 653 W 8th St Lrc Bldg Fl 2, Jacksonville, FL 32216-6511 | 2017-02-09 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1356692065 | Onslow Ambulatory Services, Inc. | Urology | 52 Office Park Dr, Suite B, Jacksonville, NC 28546-3217 | 2012-09-21 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1275597817 | Thomas L Wilson M D Ltd | Urology | 814 W State, Jacksonville, IL 62650 | 2006-04-12 |
| 1164484267 | Charles Stott Wilson | Urology | 814 West State, Jacksonville, IL 62650 | 2006-04-04 |
| 1972578136 | Christopher Ramon Williams | Urology | 8708 Perimeter Park Blvd Ste 4, Jacksonville, FL 32216 | 2006-02-21 |
| 1659374320 | Ahmad Kasraeian | Urology | 6269 Beach Blvd, Ste 2, Jacksonville, FL 32216-2705 | 2005-05-24 |
| 1013542919 | Ackerman Cancer Center, Pa | Urology | 10232 San Jose Blvd, Jacksonville, FL 32257 | 2020-03-11 |
| 1780241380 | Bryce Baird | Urology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-05-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.