MR. MICHAEL KEITH FARRIS


Address: 557 Brookdale Dr, Statesville, NC 28677-4107
Phone: 3367162255

MR. MICHAEL KEITH FARRIS (NPI# 1063754430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063754430
Entity Type Individual
Full Name MR. MICHAEL KEITH FARRIS
Credential MD
Practice Address 557 Brookdale Dr
Statesville
NC 28677-4107
Mailing Address Wake Forest University Health Scien
1 Medical Center Blvd.
Winston Salem
NC 27157-0001
Practice Telephone 3367162255
Mailing Telephone 3367162255
Enumeration Date 2013-03-22
Last Update Date 2018-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
2018-01589 NC Allopathic & Osteopathic Physicians

Other Providers MICHAEL FARRIS

NPI Name Taxonomy Address Enumeration
1801457460 Michael Keith Farris Nurse Practitioner 4200 Santa Olivia St, Mission, TX 78572-8636 2019-06-25
1881937050 Michael Saul Farris Psychiatry & Neurology Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 2013-04-05
1043324791 Michael M. Farris Physician Assistant 1301 West 38th Street Suite 102, Austin, TX 78705-4107 2006-08-19
1548238520 Michael V Farris Physical Therapist 121 Enclave Drive, Suite A, New Castle, PA 16105 2006-03-08
1801891387 Michael John Farris Emergency Medicine 113 W Hickory St, Neosho, MO 64850 2005-06-20
1619971397 Michael Douglas Farris Optometrist 113 Country Club Dr Ne, Concord, NC 28025-2935 2005-06-09
1447698428 Michael Farris Pharmacist 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 2013-06-12
1215262092 Michael Andrew Farris Psychologist 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 2009-10-12

Office Location

Street Address 557 BROOKDALE DR
City STATESVILLE
State NC
Zip Code 28677-4107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982606281 Rocco Joseph Tritico Specialist 557 Brookdale Dr, Statesville, NC 28677-4107 2005-06-01
1396216735 Wake Forest Emergency Providers Clinic/Center 557 Brookdale Dr, Statesville, NC 28677-4100 2018-12-11
1255807517 Sarah E Pagano Nurse Anesthetist, Certified Registered 557 Brookdale Dr, Statesville, NC 28677-4107 2018-10-15
1023503265 Cecilia Kaechele Nurse Practitioner 557 Brookdale Dr, Statesville, NC 28677 2018-06-29
1063900512 Amanda L Downs Dietitian, Registered 557 Brookdale Dr, Statesville, NC 28677-4107 2018-04-30
1275049207 Holly Townsend Specialist/Technologist 557 Brookdale Dr, Statesville, NC 28677-4107 2017-12-28
1982115846 Kayla Pierce Registered Nurse 557 Brookdale Dr, Statesville, NC 28677-4107 2017-10-18
1245757665 Wake Forest University Health Sciences Clinic/Center 557 Brookdale Dr, Statesville, NC 28677-4107 2017-08-25
1609259183 Nunta Campbell Nurse Practitioner 557 Brookdale Dr, Statesville, NC 28677-4107 2015-07-02
1811381593 Iredell Physician Network LLC General Practice 557 Brookdale Dr, Statesville, NC 28677-4107 2015-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306472311 Crystal Medley Hopkins Nurse Practitioner 105 Summer Breeze Court, Statesville, NC 28677 2020-03-21
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1962069286 Leap Child & Family Services LLC Developmental Therapist 119 North Tradd Street, Statesville, NC 28677 2019-05-22
1831604891 Ingles Markets Inc Pharmacy 722 Sullivan Rd, Statesville, NC 28677 2017-12-12
1235663162 Sandra Lorraine Scalese Physical Therapy Assistant 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 2017-04-18
1437698891 Sherry Blevins Hager Pharmacist 722 Sullivan Road, Statesville, NC 28677 2017-02-17
1063828507 Susan Marie S Sheffield Dentist 518 Brookdale Drive, Statesville, NC 28677 2014-07-04
1659782449 Easter Seals Ucp Community/Behavioral Health 913 Carolina Ave, Statesville, NC 28677 2014-05-14
1306268016 Randall Scott Perry Dentist 1132 Davie Avenue, Statesville, NC 28677 2014-01-15
1215215876 Silhouette Enterprises Prosthetic/Orthotic Supplier 909 Carolina Ave, Statesville, NC 28677 2011-08-01
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518301464 Charles Marc Leyrer Radiology 557 Brookdale Dr, Statesville, NC 28677-4107 2013-04-22
1134322522 Fairgrove Radiation Oncology, Pa Radiology 557 Brookdale Dr, Statesville, NC 28677-4107 2007-06-06
1841377363 Gayla S Lowery Radiology 557 Brookdale Dr, Statesville, NC 28677-4107 2006-11-01
1245317767 Debra B Harr Radiology 557 Brookdale Dr, Statesville, NC 28677-4107 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396121745 Orit Kaidar - Person Radiology 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 2015-08-08
1134547201 Zachary J Reitman Radiology 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 2014-04-04
1861810756 Susan Gr Mcduff Radiology Dumc 20 Duke Medical Center, Durham, NC 27710-0001 2014-03-28
1679830699 Colette Joan Shen Radiology 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 2012-04-15
1124397328 Aaron Tyler Wild Radiology 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 2011-12-19
1891964615 John William Nelson Radiology 5524 Hawthorne Park, Raleigh, NC 27613-6006 2008-02-26
1194905984 Daniel G. Baseman Radiology 70 Neely Rd, Brevard, NC 28712-4267 2007-11-08
1285844183 John S Moody Radiology 501 N. Elam Avenue, Greensboro, NC 27403 2007-05-22
1326251075 North Carolina Oncology Associates Radiology 4101 Macon Pond Road, Raleigh, NC 27607-6319 2007-05-08
1164552865 Christopher Ryan Kelsey Radiology Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 2007-03-06
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Competitor

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City STATESVILLE
Zip Code 28677

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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