Provider Demographics
NPI:1336131382
Name:FARBER, STEVEN S (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:FARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 S VINEYARD STE 142
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6891
Mailing Address - Country:US
Mailing Address - Phone:480-655-8040
Mailing Address - Fax:480-655-1640
Practice Address - Street 1:2045 S VINEYARD STE 142
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6891
Practice Address - Country:US
Practice Address - Phone:480-655-8040
Practice Address - Fax:480-655-1640
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDO2092207RP1001X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ125271OtherMEDICAREPTAN -INDIVIDUAL
AZ2092OtherD.O. LICENSE
AZ249278Medicaid
AZZDO2092OtherMEDICARE PTAN - GROUP
AZ1700039500OtherGROUP NPI (PAY-TO) -THE ARIZONA LUNG CENTER, P.C.
AZZDO2092OtherMEDICARE PTAN - GROUP
AZ2092OtherD.O. LICENSE