{
"Npi": {
"NPI": "1326002767",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FABER",
"FirstName": "STEVEN",
"MiddleName": "MARK",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MD FACG",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FABER",
"OtherFirstName": "STEVEN",
"OtherMiddleName": "M",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "405 HASTINGS LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELIZABETH CITY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27909-3327",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-335-5588",
"MailingAddressFaxNumber": "252-331-1504",
"FirstLinePracticeLocationAddress": "405 HASTINGS LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELIZABETH CITY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27909-3327",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-335-5588",
"PracticeLocationAddressFaxNumber": "252-335-9498",
"EnumerationDate": "04/13/2006",
"LastUpdateDate": "11/13/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "35892",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RG0100X",
"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": "35892",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "35892",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}