JOHN MARK FARRELL (NPI# 1457478984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457478984 |
| Entity Type | Individual |
| Full Name | JOHN MARK FARRELL |
| Credential | P.A. |
| Practice Address |
900 Northrop Rd Wallingford CT 06492 |
| Mailing Address |
900 Northrop Rd Wallingford CT 06492-1997 |
| Practice Telephone | 2039491534 |
| Mailing Telephone | 2039491534 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000202 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 003002029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225246648 | John J Farrell | Naturopath | 1141 Tunnel Rd., Asheville, NC 28815-1803 | 2007-05-18 |
| 1316163090 | John Patrick Farrell | Psychologist | 97b S Mccain Dr, Frederick, MD 21703-6055 | 2007-04-18 |
| 1851405708 | John David Farrell Jr. | Pediatrics | 43063 Peacock Market Plz, Suite 150, Chantilly, VA 20152-4444 | 2006-08-18 |
| 1043284649 | John Joseph Farrell | Internal Medicine | Department of Internal Medicine, 530 Ne Glen Oak Drive, Peoria, IL 61637-0001 | 2006-02-13 |
| 1023088788 | John F Farrell | Chiropractor | 152 Tunnel Rd, Asheville, NC 28805 | 2006-01-25 |
| 1780204495 | John Henry Farrell IIi | Pharmacy Technician | 235 Queen St, Southington, CT 06489-1915 | 2020-04-22 |
| 1497383459 | John Farrell | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-03-27 |
| 1568614725 | John F Farrell | Occupational Therapist | 111 S Railroad Ave, Dunn, NC 28334-4853 | 2008-10-21 |
| 1053438549 | John E Farrell | Counselor | 11741 Telegraph Rd, Santa Fe Springs, CA 90670-3681 | 2007-03-22 |
| 1083730618 | John M Farrell | Social Worker | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-03-22 |
| Street Address |
900 NORTHROP RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158041 | Terrence Bugai | Emergency Medicine | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2006-07-02 |
| 1386282119 | Nickolas Denuzzo | Physical Therapist | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2019-12-11 |
| 1134672652 | David White | Physical Therapist | 900 Northrop Rd, Ste, D, Wallingford, CT 06492-1997 | 2016-08-02 |
| 1891180246 | Jose Leonardo Villa Uribe | Emergency Medicine | 900 Northrop Rd, Wallingford, CT 06492 | 2015-04-02 |
| 1396158226 | Jacquelyne Michelle Guerra | Registered Nurse | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2014-06-09 |
| 1114274313 | Kelly Nicole Evanovich | Physical Therapist | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2012-08-07 |
| 1982964599 | Jacqueline E Anglin-dixon | Pharmacist | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2012-05-17 |
| 1427347244 | Victoria Ione Canary | Physical Therapist | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2011-04-01 |
| 1225155369 | Paul Acampora | Preventive Medicine | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2007-03-23 |
| 1851418859 | Kathryn M Papadikis | Preventive Medicine | 900 Northrop Rd, Wallingford, CT 06492-1997 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844926 | Kathryn Nicole Sundberg | Physician Assistant | 22 Cooke Rd, Wallingford, CT 06492-5500 | 2019-01-09 |
| 1588135966 | Meghan Prevost | Physician Assistant | 821 N Main Street Ext Ste 210, Wallingford, CT 06492-2464 | 2018-12-11 |
| 1962724260 | Jonathan Robert Dale | Physician Assistant | 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 | 2010-02-28 |
| 1285734533 | Robin Christi Kenna | Physician Assistant | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2006-09-25 |
| 1497769608 | Gina Morgenstein | Physician Assistant | 85 Barnes Rd, Wallingford, CT 06492-1832 | 2006-07-27 |
| 1316923501 | Mary E. Cash | Physician Assistant | 22 Masonic Ave, 1st Floor, Wallingford, CT 06492-3048 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.