MARK FARRELL (NPI# 1437179124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437179124 |
Entity Type | Individual |
Full Name | MARK FARRELL |
Credential | PA |
Practice Address |
1 Webster Ave Suite 301 Poughkeepsie NY 12601-1172 |
Mailing Address |
243 North Rd Suite 304 Poughkeepsie NY 12601-1172 |
Practice Telephone | 8457906100 |
Practice Fax Number | 8453459966 |
Mailing Telephone | 8454517251 |
Mailing Fax Number | 8454517757 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-04-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003835 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02419652 | 05 |
Street Address |
1 WEBSTER AVE SUITE 301 |
City | POUGHKEEPSIE |
State | NY |
Zip Code | 12601-1172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500205 | Andrew Jon Chernack | Family Medicine | 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1361 | 2005-07-01 |
1255757928 | University Orthopaedics,pc | Orthopaedic Surgery | 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 | 2014-03-05 |
1235552456 | Megan Wright | Nurse Practitioner | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2014-01-23 |
1255612990 | Carolynn Lavigne | Physical Therapy Assistant | 1 Webster Ave, Suite 401, Poughkeepsie, NY 12601-1361 | 2011-09-08 |
1811294465 | William J. Senisi, M.d. P.C. | Ophthalmology | 1 Webster Ave, Suite 306, Poughkeepsie, NY 12601-1361 | 2011-02-17 |
1417289307 | Mid Hudson Neurosurgical Specialist, PC | Psychiatry & Neurology | 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601-1361 | 2010-02-03 |
1720314347 | Maren Ryan Degroat | Massage Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2009-11-02 |
1205007549 | Gingrich Oncology Pllc | Internal Medicine | 1 Webster Ave, Poughkeepsie, NY 12601-1361 | 2008-03-14 |
1205011749 | Lorraine Gogreve | Occupational Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2008-01-03 |
1578744280 | Arnold Goran, Md Pllc | Specialist | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2007-11-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
Find all providers in zip 12601 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679962690 | Adam Moscicki | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2015-01-14 |
1457762460 | Westchester Medical Regional Physician Services, PC | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2014-05-13 |
1225313430 | Brandon J Ballister | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-10-19 |
1407134380 | Nicole Pasheek | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-07-27 |
1154619831 | Jessica Beth Wayman | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-07-15 |
1194017772 | Jonathan Thomas Humphreys | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-05-13 |
1932434412 | Alyssa F Ludwin | Physician Assistant | 21 Reade Pl Ste 3200, Poughkeepsie, NY 12601-3944 | 2009-10-16 |
1619202397 | Rachel Snider | Physician Assistant | 19 Baker Ave, Poughkeepsie, NY 12601-1359 | 2009-10-13 |
1346492238 | Vicenta Maria Montgomery I | Physician Assistant | 1 Columbia St, Dra Imaging, PC, Poughkeepsie, NY 12601-3923 | 2008-10-22 |
1770782997 | Paul Thomas Wilson | Physician Assistant | 230 North Rd, Lexington Ctr for Recovery-mmtp, Poughkeepsie, NY 12601-1328 | 2007-07-17 |
Find all providers in POUGHKEEPSIE |
City | POUGHKEEPSIE |
Zip Code | 12601 |
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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.