FREDRICK J FARMER III (NPI# 1174612105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612105 |
| Entity Type | Individual |
| Full Name | FREDRICK J FARMER III |
| Credential | DO |
| Practice Address |
802 W Broadway Stafford KS 67578 |
| Mailing Address |
802 W Broadway Po Box 309 Stafford KS 67578 |
| Practice Telephone | 6202346826 |
| Practice Fax Number | 6202345014 |
| Mailing Telephone | 6202346826 |
| Mailing Fax Number | 6202345014 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0518773 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 103006 | 01 |
| Street Address |
802 W BROADWAY |
| City | STAFFORD |
| State | KS |
| Zip Code | 67578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093896805 | Pratt Regional Medical Center Corporation | Clinic/Center | 802 W Broadway, Stafford, KS 67578 | 2006-10-18 |
| 1124117163 | Jill Burbank | Physician Assistant | 802 W Broadway, Stafford, KS 67578 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104038959 | Grene Vision Group LLC | Ophthalmology | 115 E Broadway, Stafford, KS 67578 | 2007-05-04 |
| 1669451084 | Thomas Anderson Bauer | Internal Medicine | 602 South Buckeye Avenue, Stafford, KS 67578 | 2006-01-13 |
| 1295840999 | Stafford County Hospital | General Acute Care Hospital | 502 South Buckeye Street, Stafford, KS 67578-0190 | 2006-08-20 |
| 1437258779 | Stafford County Hospital | Medicare Defined Swing Bed Unit | 502 South Buckeye Street, Stafford, KS 67578-0190 | 2006-09-22 |
| 1649331281 | Tamara L Farmer | Clinical Nurse Specialist | 802 West Broadway, Stafford, KS 67578-0309 | 2006-12-13 |
| 1750472429 | Pratt Regional Medical Center Corporation | Clinic/Center | 802 W Broadway St, Stafford, KS 67578-1402 | 2006-09-27 |
| 1902847072 | Charles L Craig | Physician Assistant | 218 S Union St, Stafford, KS 67578-1428 | 2006-06-09 |
| 1609100452 | Stafford Usd 349 | Local Education Agency (LEA) | 318 E Broadway St, Stafford, KS 67578-1807 | 2009-09-28 |
| 1033175724 | Larry D Ball | Family Medicine | 602 S Buckeye, Stafford, KS 67578-2002 | 2006-04-22 |
| 1770942526 | Mary Vineski | Occupational Therapy Assistant | 405 Grand Ave, Stafford, KS 67578-2009 | 2016-02-22 |
| Find all providers in zip 67578 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265079461 | Morgan Bay Health LLC | Family Medicine | 3623 S Main St Ste 109, Stafford, TX 77477-5406 | 2019-12-06 |
| 1336538222 | Meridian Independent Physician Group LLC | Family Medicine | 7 Planters Pl, Stafford, VA 22554-8507 | 2015-01-14 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1093908469 | Enamul Hoq Kahn | Family Medicine | 237 Garrisonville Rd Ste 101, Stafford, VA 22554-1553 | 2007-08-20 |
| 1538378195 | Deepa Pai | Family Medicine | 422 Garrisonville Rd Ste 102, Stafford, VA 22554-1573 | 2007-05-21 |
| 1629004908 | Michelle M. Campbell, M.d. PC | Family Medicine | 2765 Jefferson Davis Hwy Ste 207, Stafford, VA 22554-8331 | 2006-06-25 |
| 1033175724 | Larry D Ball | Family Medicine | 602 S Buckeye, Stafford, KS 67578-2002 | 2006-04-22 |
| 1780646182 | Michelle M Campbell | Family Medicine | 2765 Jefferson Davis Hwy Ste 210, Stafford, VA 22554-8331 | 2006-04-03 |
| 1184690935 | Yolanda G Reid | Family Medicine | 2761 Jefferson Davis Hwy Ste 101, Stafford, VA 22554-8330 | 2006-02-23 |
| 1659354900 | Andrea Rhea Lough | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2005-11-21 |
| Find all providers in STAFFORD | ||||
Please comment or provide details below to improve the information on FREDRICK J FARMER III.
| 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.