JOSEPH PETER FARRELL (NPI# 1285690255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285690255 |
| Entity Type | Individual |
| Full Name | JOSEPH PETER FARRELL |
| Credential | DO |
| Practice Address |
110 N Elm Ave Jackson MI 49202-3571 |
| Mailing Address |
Department 272801 Po Box 67000 Detroit MI 48267-2728 |
| Practice Telephone | 5177886760 |
| Practice Fax Number | 5177883029 |
| Mailing Telephone | 5178416913 |
| Mailing Fax Number | 5178416917 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.007479 | OH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5101015920 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4728554 | 05 | |
| MI | RR MEDICARE | P00237166 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649717158 | Joseph Farrell | Social Worker | 800 Benevita Pl Apt 201, Hampton, VA 23666-1075 | 2017-01-22 |
| 1235374166 | Joseph Concodora Farrell | Pharmacist | 1395 New Scotland Rd #176, Price Chopper Pharmacy, Slingerlands, NY 12159 | 2008-12-05 |
| 1104224781 | Joseph David Farrell | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1720426968 | Joseph F Farrell | Internal Medicine | 28411 Northwestern Hwy, Suite 1050, Southfield, MI 48034-5544 | 2013-06-10 |
| 1831418912 | Joseph M Farrell | Orthopaedic Surgery | 12100 Black Swan Drive, Suite 201, Lewes, DE 19958-4988 | 2010-05-27 |
| 1447445853 | Joseph Robert Farrell II | Social Worker | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2007-09-10 |
| 1821043456 | Joseph Farrell | Orthopaedic Surgery | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130 | 2006-05-23 |
| 1851375240 | Joseph P Farrell | Physical Therapist | 20211 Patio Dr, #205, Castro Valley, CA 94546-4338 | 2005-11-30 |
| 1003817255 | Joseph Farrell | Orthopaedic Surgery | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2005-08-09 |
| Street Address |
110 N ELM AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407812464 | Daniel Robert Fermaglich | Pediatrics | 110 N Elm Ave, Jackson, MI 49202-3571 | 2006-04-26 |
| 1053781625 | Carelink of Jackson, A Community-owned Specialty Hospital | Nurse Practitioner | 110 N Elm Ave, Jackson, MI 49202-3571 | 2015-09-25 |
| 1659754703 | Uday Kiran Guvvala | Physical Therapist | 110 N Elm Ave, Jackson, MI 49202-3571 | 2015-07-08 |
| 1457306987 | Carol Lynn Piesik | Physician Assistant | 110 N Elm Ave, Jackson, MI 49202-3571 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891141032 | Tobin S Dennis | Emergency Medicine | 625 East Broadway Ave, Jackson, WY 83001-8642 | 2016-05-06 |
| 1902270093 | Steven Pirtle French | Emergency Medicine | 6605 N Snake River Woods Dr, Jackson, WY 83001-8491 | 2015-11-30 |
| 1942612015 | Emergency Associates Pllc | Emergency Medicine | 2660 Ridgewood Rd, Suite 100, Jackson, MS 39216-4921 | 2014-05-23 |
| 1083995674 | Obhg Mississippi, P.C. | Emergency Medicine | 1225 N State St Ste B1, Jackson, MS 39202-2072 | 2011-09-09 |
| 1508180183 | Jon Edward Zamber | Emergency Medicine | 361 Willie Adams Rd, Jackson, TN 38305-7223 | 2010-03-25 |
| 1750510962 | Jason Robert Schwanebeck | Emergency Medicine | University of Missisippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505 | 2009-07-09 |
| 1366629214 | Joseph Scott Savage | Emergency Medicine | 400 N Alpine Lake Dr, Suite F, Jackson, MI 49203-6334 | 2008-01-23 |
| 1689709610 | Dawn Nicole Laws | Emergency Medicine | 1325 N West Ave, Jackson, MI 49202-2050 | 2007-02-22 |
| 1194834747 | Joseph W Blackston | Emergency Medicine | 1900 Petit Bois St N, Jackson, MS 39211-6707 | 2006-08-29 |
| 1174637318 | Kaushal Patel | Emergency Medicine | 205 Trace Dr, Jackson, TN 38305-1580 | 2006-08-17 |
| Find all providers in JACKSON | ||||
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| 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.