JOHN FARENS MD PC (NPI# 1174711188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174711188 |
| Entity Type | Organization |
| Organization Name | JOHN FARENS MD PC |
| Practice Address |
224 Leavenworth Rd Shelton CT 06484-1809 |
| Practice Telephone | 2039261206 |
| Practice Fax Number | 2039260413 |
| Mailing Telephone | 2039261206 |
| Mailing Fax Number | 2039260413 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DR. JOHN AUGUSTINE FARENS III (PRESIDENT) |
| Authorized Official Telephone | 2039261206 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
028528 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1285289 | 05 |
| Street Address |
224 LEAVENWORTH RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427133354 | John Farens | Internal Medicine | 224 Leavenworth Rd, Shelton, CT 06484-1809 | 2006-10-26 |
| 1679117865 | Faye Steiner | Physician Assistant | 224 Leavenworth Rd, Shelton, CT 06484-1881 | 2019-10-31 |
| 1992110621 | John A Farens M.d. PC | Internal Medicine | 224 Leavenworth Rd, Shelton, CT 06484-1881 | 2014-06-20 |
| 1316388077 | Jaclyn Thompson | Physician Assistant | 224 Leavenworth Rd, Shelton, CT 06484-1881 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637932 | Hikmat H Shaarbaf | Internal Medicine | 100 D North Turnpike Road, Wallingford, CT 06492 | 2012-04-11 |
| 1881793511 | Medical Care Center of Cheshire,inc | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-21 |
| 1699713149 | Ramani D Yapa | Internal Medicine | 1100 Dixwell Ave, Hamden, CT 06514-4730 | 2006-06-04 |
| 1366489536 | David Schwindt | Internal Medicine | 23 Clara Drive, Ste 204, Mystic, CT 06355 | 2006-05-31 |
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1164545810 | Clinical Center for Neoplastic Diseases, P.C. | Internal Medicine | 158 Main St, Ansonia, CT 06401-1836 | 2007-04-09 |
| 1689733545 | Drs Robbin Cappadona & Associates | Internal Medicine | 720 Hopmeadow St, Simsbury, CT 06070-2224 | 2006-12-07 |
| 1972604528 | Husam Bahgat Shitia | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-26 |
| 1164441101 | David Schwindt LLC | Internal Medicine | 23 Clara Drive, Suite 204, Mystic, CT 06355 | 2006-07-19 |
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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.