MARY ELIZABETH FARRAR PA-C NPI 1417999640

NPI Information

NPI: 1417999640
Provider Name: MARY ELIZABETH FARRAR, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7 GRANITE PL
SUITE 14
GAITHERSBURG, MD
ZIP 20878
Phone: (240) 631-1170
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Mary Elizabeth Farrar, PA-C is a medical physician assistant in Gaithersburg, MD. Mary Elizabeth Farrar, PA-C NPI is 1417999640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7 GRANITE PL
SUITE 14
GAITHERSBURG, MD
ZIP 20878-586
Phone: (240) 631-1170
Fax: (240) 631-1031

The NPI 1417999640 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 6/12/2006 and was last updated on 1/28/2017.

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	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C0002642	MARYLAND	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
1	P84652	MEDICARE UPIN	MARYLAND
2	011149G80	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
3	118801100	MEDICAID	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

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