GERARD FARRAR (NPI# 1174543102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174543102 |
| Entity Type | Individual |
| Full Name | GERARD FARRAR |
| Credential | MD |
| Practice Address |
4000 Wellness Dr Midland MI 48670-0001 |
| Mailing Address |
Po Box 5987 Saginaw MI 48603-0987 |
| Practice Telephone | 9898393408 |
| Mailing Telephone | 9894014245 |
| Mailing Fax Number | 9894014235 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
GF407494 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
GF407494 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1174543102 | 05 | |
| MI | BLUE CROSS | 300E676040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538411509 | Gerard Farrar | Case Manager/Care Coordinator | 601 W 26th St Rm 522, New York, NY 10001-1137 | 2012-10-15 |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1063021673 | Jenna Ann Randolph | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-29 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
| Find all providers in zip 48670 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109752 | Michael P Bartlett | Radiology | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225318652 | Julius M Griauzde | Radiology | 26850 Providence Pkwy Ste 205, Novi, MI 48374-1255 | 2011-08-17 |
| 1033438098 | Naveen Kumar Malay | Radiology | 4201, St.antoine, Detroit, MI 48201 | 2010-05-28 |
| 1790931715 | Ravi K Shastri | Radiology | 2122 Health Dr Sw Ste 160, Wyoming, MI 49519-9402 | 2008-08-10 |
| 1548373483 | Linden Road Imaging Center | Radiology | 1100 S Linden Road, Ste C, Flint, MI 48532 | 2006-08-16 |
| 1558378455 | Greater Flint Imaging Center | Radiology | 4001 Walli Strasse, Suite A, Burton, MI 48509 | 2006-08-02 |
| 1922022409 | Christopher Clark Massin | Radiology | 200 Jefferson Ave, Grand Rapids, MI 49503 | 2006-07-27 |
| 1134119886 | John Hopkins | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2005-10-25 |
| 1538401658 | Gassan Shahin Md PC | Radiology | 31471 Northwestern Hwy, Suite # 3, Farmington Hills, MI 48334 | 2013-03-27 |
| 1437441714 | Ain Imaging Plc | Radiology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2011-05-05 |
| 1235438755 | Michael E Stone | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-03-23 |
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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.