1134110976 NPI number — JOYCE A FARMER, D.P.M. P.C.

Table of content: (NPI 1134110976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134110976 NPI number — JOYCE A FARMER, D.P.M. P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOYCE A FARMER, D.P.M. P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134110976
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
609 N CHURCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15666-1002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-547-5566
Provider Business Mailing Address Fax Number:
724-547-0910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
609 N CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-5566
Provider Business Practice Location Address Fax Number:
724-547-0910
Provider Enumeration Date:
11/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
FARMER
Authorized Official First Name:
JOYCE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-547-5566

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  SC002520L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1366713 . This is a "UMWA HEALTH AND RETIREMEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1632042 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 241516 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1101554 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1008435 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00141711 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 103322 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 155657 . This is a "THREE RIVERS-MEDPLUS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 241516 . This is a "HEALTH ASSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 241516 . This is a "ADVANTRA" identifier . This identifiers is of the category "OTHER".




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