JOHANN DAVID FARLEY MD NPI 1043275761

NPI Information

NPI: 1043275761
Provider Name: JOHANN DAVID FARLEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
119 E 89TH AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 757-5780
Get Directions

Johann David Farley, MD is a family medicine in Merrillville, IN with 24 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. Johann David Farley, MD NPI is 1043275761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

119 E 89TH AVE
MERRILLVILLE, IN
ZIP 46410-184
Phone: (219) 757-5780
Fax: (219) 769-1609

The NPI 1043275761 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 4/18/2006 and was last updated on 2/26/2010.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	A89493	CALIFORNIA	No
2	207Q00000X	Family Medicine	46905-20	WISCONSIN	No
3	207Q00000X	Family Medicine	01060680A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I31804	MEDICARE UPIN
2	200522790	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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