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DR. ELISABETH K FARNUM MD NPI 1619991064


NPI Information

NPI: 1619991064
Provider Name: DR. ELISABETH K FARNUM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: INNOVATIVE MEDICAL PRACTICE OF NEW YORK, P.C.

PECOS Registration: Yes

Address:
215 TALL GATE RD
SUITE 104
WARWICK, RI
ZIP 02886
Phone: (401) 736-4570
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DR. Elisabeth K Farnum, MD is a family medicine in Warwick, RI with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Elisabeth K Farnum, MD NPI is 1619991064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

215 TALL GATE RD
SUITE 104
WARWICK, RI
ZIP 02886
Phone: (401) 736-4570
Fax: (401) 681-4980

The NPI 1619991064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301108765MICHIGANNo
2207Q00000XFamily MedicineC1-0011547DELAWARENo
3207Q00000XFamily Medicine25MA09833800NEW JERSEYNo
4207Q00000XFamily Medicine265343MASSACHUSETTSNo
5207Q00000XFamily MedicineD80704MARYLANDNo
6207Q00000XFamily MedicineMD20824MAINENo
7207Q00000XFamily MedicineMD456976PENNSYLVANIANo
8207Q00000XFamily Medicine55110CONNECTICUTNo
9207Q00000XFamily Medicine01076690AINDIANANo
10207Q00000XFamily Medicine042.0013369VERMONTNo
11207Q00000XFamily MedicineME130791FLORIDANo
12207Q00000XFamily Medicine077731GEORGIANo
13207Q00000XFamily Medicine282381NEW YORKNo
14207Q00000XFamily MedicineMD08497RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203459OTHERBLUECHIP
2713736OTHERHARVARD PILGRIM
3EF01846MEDICAIDRHODE ISLAND
4229977OTHERRHODE ISLANDBCBS
50101201OTHERUNITED HEALTHCARE
6404222OTHERTUFTS
71671OTHERRHODE ISLANDNEIGHBORHOOD HEALTH
8HMO2287823OTHERAETNA US HEALTHCARE
9NONHMO5270203OTHERAETNA US HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.