MR. GLEN S FARRIS (NPI# 1093781304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093781304 |
| Entity Type | Individual |
| Full Name | MR. GLEN S FARRIS |
| Credential | P.A. |
| Practice Address |
207 E Court St Newton TX 75966-3203 |
| Mailing Address |
Rr 1 Box 42 Jasper TX 75951-9801 |
| Practice Telephone | 4093792647 |
| Practice Fax Number | 4093792698 |
| Mailing Telephone | 4093848089 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00499 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GROUP | 0083GN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801072764 | Glen Woody Farris | Dentist | 908 S Evans, Uvalde, TX 78801-6034 | 2008-01-10 |
| Street Address |
207 E COURT ST |
| City | NEWTON |
| State | TX |
| Zip Code | 75966-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275509580 | Johnnie S Wilson | Nurse Practitioner | 207 E Court St, Newton, TX 75966-3203 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124241955 | Clint L. Hines, Inc | Skilled Nursing Facility | 405 Shady Acres Ln, Newton, TX 75966 | 2007-04-10 |
| 1689724296 | Burke Center | Intermediate Care Facility, Mental Illness | 700 Mcmahon Ave, Newton, TX 75966 | 2007-01-12 |
| 1124120928 | Newton Family Clinic Pa | Clinic/Center | 207 East Court, Newton, TX 75966 | 2006-09-02 |
| 1831299270 | Brookshire Brothers Inc | Pharmacy | 701 W Court St, Newton, TX 75966-3007 | 2006-09-25 |
| 1174644967 | Newton Pharmacy, Pllc | Pharmacist | 701 W Court St, Newton, TX 75966-3007 | 2007-04-02 |
| 1982613923 | Mihir Das | Internal Medicine | 1304 W Court St, Newton, TX 75966-3009 | 2006-08-07 |
| 1972512986 | East Texas Family Healthcare Pllc | Clinic/Center | 1304 W Court St, Newton, TX 75966-3009 | 2006-08-07 |
| 1861491060 | Michael Allen Mcdonald | Family Medicine | 615 W Court St, Newton, TX 75966-3010 | 2005-07-19 |
| 1083832562 | Jasper Newton County Public Health District | Public Health or Welfare | 210 High St, Newton, TX 75966-3216 | 2007-04-23 |
| 1659443760 | Jimmie D Bussey | Family Medicine | 802 Rusk St, Newton, TX 75966-3222 | 2006-11-14 |
| Find all providers in zip 75966 | ||||
| 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 |
|---|---|---|---|---|
| 1306476783 | Haley Gosnell | Physician Assistant | 1018 N Gaither Ave, Newton, NC 28658-1823 | 2020-01-24 |
| 1902447584 | Kristin Hehir | Physician Assistant | 10 Cumberland Rd, Newton, MA 02465-1802 | 2019-10-04 |
| 1497310239 | Melanie Ann Dibartolomeo Danner | Physician Assistant | 1 Beardall Pl, Newton, NJ 07860-4899 | 2019-05-07 |
| 1144790288 | Travis S Chui | Physician Assistant | 131 Country Club Rd, Newton, MA 02459-3020 | 2018-12-02 |
| 1104287770 | Kathleen Mclean | Physician Assistant | 155 Berkeley St, Newton, MA 02465-2637 | 2016-03-10 |
| 1295135697 | Erica Leigh Whitehead | Physician Assistant | 327 Sunset Ave Sw # 3, Newton, GA 39870 | 2014-09-04 |
| 1265859508 | James Welch Bell | Physician Assistant | 235 Adams Ave, Newton, MA 02465-1502 | 2014-03-25 |
| 1962758649 | Victoria Kresse | Physician Assistant | Cardiology Associates of Sussex County, 222 High Street Suite 205, Newton, NJ 07860-9605 | 2012-07-31 |
| 1932389541 | Kristen Lynn Imbrescia | Physician Assistant | 2000 Washington St Ste 341, Newton, MA 02462-1625 | 2007-11-12 |
| 1003918376 | James Womack | Physician Assistant | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2006-09-05 |
| Find all providers in NEWTON | ||||
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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.