JOHANN FARLEY MD PC NPI 1972649630

NPI Information

  • NPI: 1972649630
  • Provider Name: JOHANN FARLEY MD PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8300 BROADWAY STE D2
    MERRILLVILLE, IN
    ZIP 46410
  • Phone: (219) 649-0044

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NPI Details

JOHANN FARLEY MD PC is a primary care clinic center in Merrillville, IN. JOHANN FARLEY MD PC NPI is 1972649630. The provider is registered as an organization entity type.

The provider's business location address is:

8300 BROADWAY STE D2
MERRILLVILLE, IN
ZIP 46410-603
Phone: (219) 649-0044
Fax: (219) 649-0055

The provider's authorized official is Johann David Farley .
The authorized official title is President and has the following contact phone number (219) 801-2665.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 3/26/2024.

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
1261QP2300XClinic/CenterPrimary Care01060680AINDIANAYes
2261QP2300XClinic/CenterPrimary Care46905-20WISCONSINNo
3261QP2300XClinic/CenterPrimary CareA89493CALIFORNIANo

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: 11/21/2025

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