MARC J FARRAYE (NPI# 1245207950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245207950 |
| Entity Type | Individual |
| Full Name | MARC J FARRAYE |
| Credential | MD |
| Practice Address |
218 Sophia Ter St Augustine FL 32095-6812 |
| Practice Telephone | 9046626661 |
| Mailing Telephone | 9046626661 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME84425 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 049607 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264217400 | 05 | |
| GA | 000905286C | 05 | |
| GA | 00905286B | 05 | |
| FL | BCBS | 13736 | 01 |
| Street Address |
218 SOPHIA TER |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| 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 |
|---|---|---|---|---|
| 1033282199 | Billy Franklin Gardner II | Emergency Medicine | 120 Health Park Blvd Ste 1, St Augustine, FL 32086-5798 | 2006-11-16 |
| 1831142330 | Kristine Ann Rynn | Emergency Medicine | 16 Saint Johns Medical Pk Dr, St Augustine, FL 32086-5299 | 2006-05-18 |
| 1801881818 | Emergency Physicians of St. Johns County | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2005-09-15 |
| 1750626479 | Emergency Physicians Inc | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2012-12-06 |
| 1215142559 | Natalie Dawn Lambie | Emergency Medicine | 400 Health Park Blvd, Emergency Department, St Augustine, FL 32086-5784 | 2007-05-11 |
| 1134264641 | Cobblestone Emergency Physicians | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2007-02-21 |
| 1174618110 | Jay W Edelberg | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2006-10-04 |
| 1255426193 | Mark L Grobelny | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2006-10-04 |
| 1013002864 | Teresa M Mazur | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2006-10-04 |
| 1760438006 | Kathleen M Hughes | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2006-05-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
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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.