MEDICARE: DR. ROBERT J FAUER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	AZ14204	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78816	OTHER	AZ	FIRST HEALTH
2	1Z2950	OTHER	AZ	HEALTHNET
3	AZ0184030	OTHER	AZ	BCBS OF AZ
4	188927300	OTHER	AZ	US DEPT OF LABOR
5	4021980	OTHER	AZ	AETNA
6	313342	OTHER	AZ	ONE HEALTH

General Provider Information

NPI Number	:	1114988672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J FAUER M.D

Provider Business Mailing Address
First Line	:	9590 E IRONWOOD SQUARE DR
Second Line	:	STE 125
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4583
Country	:	US
Telephone Number	:	480-455-3000
Fax Number	:	866-819-6115

Provider Business Practice Location Address
First Line	:	16620 N 40TH ST
Second Line	:	SUITE C1
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3348
Country	:	US
Telephone Number	:	602-923-6666
Fax Number	:	602-923-7676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/30/2016

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