Provider Demographics
NPI:1851609192
Name:ADAM J FARBER MD PLC
Entity Type:Organization
Organization Name:ADAM J FARBER MD PLC
Other - Org Name:PHOENIX SHOULDER AND KNEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-219-3342
Mailing Address - Street 1:1215 W RIO SALADO PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2891
Mailing Address - Country:US
Mailing Address - Phone:480-219-3342
Mailing Address - Fax:480-219-3271
Practice Address - Street 1:1215 W RIO SALADO PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2891
Practice Address - Country:US
Practice Address - Phone:480-219-3342
Practice Address - Fax:480-219-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40472174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ348253Medicaid