MICHAEL WELLINGTON FAULK (NPI# 1780899567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899567 |
| Entity Type | Individual |
| Full Name | MICHAEL WELLINGTON FAULK |
| Credential | MD |
| Practice Address |
2 Crescent Park West Warren PA 16365-2111 |
| Practice Telephone | 8147232510 |
| Practice Fax Number | 8147234654 |
| Mailing Telephone | 8147232510 |
| Mailing Fax Number | 8147234654 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD432033 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000543098 | 01 |
| OH | 2770014 | 05 | |
| PA | 1019333580004 | 05 | |
| OH | NON PAR WELLCARE | N424355 | 01 |
| Street Address |
2 CRESCENT PARK WEST |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| 1720312820 | Nicole Marie Clark | Dietary Manager | 2 Crescent Park West, Nutrition Services, Warren, PA 16365 | 2009-09-23 |
| 1528276128 | Jessica S Shepherd | Emergency Medicine | 2 Crescent Park West, Warren Emergency Room, Warren, PA 16365-2111 | 2007-05-18 |
| 1417092917 | Andrea Leigh Shene | Specialist/Technologist | 2 Crescent Park West, Warren General Hospital, Warren, PA 16365 | 2007-02-21 |
| 1700959103 | Group Medical Services | General Practice | 2 Crescent Park West, Warren, PA 16365-2111 | 2006-11-16 |
| 1396831731 | Melissa Luanne Carter | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2006-10-05 |
| 1740247956 | John Michael Stoltzfus | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2006-05-01 |
| 1578552873 | Gregory G Pierson | Emergency Medicine | 2 Crescent Park West, Warren, PA 16365-2111 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| 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 |
|---|---|---|---|---|
| 1275853897 | Mae Faye De La Calzada-jeanlouie | Emergency Medicine | 16 Foxglove Dr, Warren, NJ 07059-5000 | 2010-06-05 |
| 1528074416 | Bradley Frank Gutierrez | Emergency Medicine | 11800 E 12 Mile Road, St John Macomb Hospital Dept of Emergency Medicine, Warren, MI 48093 | 2006-07-31 |
| 1437103371 | Markham Emergency Physicians LLC | Emergency Medicine | 404 S Bradley St, Warren, AR 71671-3459 | 2006-05-22 |
| 1659358588 | Pedro A Ballester | Emergency Medicine | 1405 E Market St, Warren, OH 44483-6609 | 2005-12-30 |
| 1285619239 | Zachary F Veres | Emergency Medicine | 4681 Mahoning Ave Nw, Warren, OH 44483-1418 | 2005-12-13 |
| 1366427312 | Melissa S Knarr | Emergency Medicine | 667 Eastland Avenue Se, Warren, OH 44484 | 2005-12-13 |
| 1508850611 | Ernest Depasquale | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2005-09-02 |
| 1124501861 | Steward Emergency Physicians Ohio Inc | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2018-09-10 |
| 1992223762 | Jessica Katherine Hall | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2017-08-31 |
| 1689102535 | Gurtejbir Singh Bilkhu | Emergency Medicine | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2017-05-23 |
| Find all providers in WARREN | ||||
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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.