GREGORY W FARIS MD NPI 1720235401

NPI Information

NPI: 1720235401
Provider Name: GREGORY W FARIS, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 630-7276
Get Directions

Gregory W Faris, MD is a pediatric emergency medicine pediatrics in Indianapolis, IN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Gregory W Faris, MD NPI is 1720235401. 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:

720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202-187
Phone: (317) 630-7276
Fax: (317) 656-4216

The NPI 1720235401 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 8/25/2008 and was last updated on 1/11/2024.

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	207P00000X	Emergency Medicine		01073676A	INDIANA	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	01073676A	INDIANA	No
3	208000000X	Pediatrics		35.097527	OHIO	No
4	208000000X	Pediatrics		01073676A	INDIANA	No
5	2080P0204X	Pediatrics	Pediatric Emergency Medicine	01073676A	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	200640016	OTHER	INDIANA	MEDICARE PTAN
2	264430206	OTHER	INDIANA	MEDICARE PTAN
3	201060680	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: 5/5/2024

NPI Synchronization or Removal

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.

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