DR. LIBAN FARAH (NPI# 1962796862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962796862 |
| Entity Type | Individual |
| Full Name | DR. LIBAN FARAH |
| Credential | MD |
| Practice Address |
1100 Bergslien St Baldwin WI 54002-2600 |
| Practice Telephone | 7156841111 |
| Practice Fax Number | 7156941119 |
| Mailing Telephone | 7156841111 |
| Mailing Fax Number | 7156841119 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56541 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3024 Snelling Ave, Minneapolis, MN 554061911 | 6127754900 |
| Street Address |
1100 BERGSLIEN ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232982 | Christopher Converse Babbitt | Psychologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2005-08-12 |
| 1568076842 | Lindsey Jae Berg | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-09-03 |
| 1558979112 | Alexandra Erickson | Occupational Therapist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-07-20 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1598308025 | Morgan A Miller | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-10-28 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1891277455 | Andrea Kay Burns | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-08-30 |
| 1790283265 | Kate Lynn Jones | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| 1861538472 | Susan Jayne Irek | Pharmacist | 840 Main Street, Baldwin, WI 54002 | 2007-01-30 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238347 | Hudson Physicians, S.c | Family Medicine | 840 Spruce St, Baldwin, WI 54002-3264 | 2017-07-19 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1952465056 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 184 Professional Dr Unit B, Baldwin, GA 30511-4012 | 2006-12-21 |
| 1932271509 | Ismail Ozcan | Family Medicine | 2762 Milburn Ave, Baldwin, NY 11510-4117 | 2006-11-15 |
| 1902984115 | Eric Shoenfeld | Family Medicine | 927 Merrick Rd, Baldwin, NY 11510-3334 | 2006-11-02 |
| 1457373532 | Nancy A. Akers | Family Medicine | 1701 Baldwin, Suite 103, Baldwin, MI 48340 | 2006-07-24 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1083658801 | Zev Brandel | Family Medicine | 2504 Grand Ave, Baldwin, NY 11510-3538 | 2006-06-15 |
| 1447224589 | Gregory John Estlund | Family Medicine | 730 10th Ave, Baldwin, WI 54002-9416 | 2006-02-15 |
| 1457321598 | Daniel Patrick Gilligan | Family Medicine | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2006-01-23 |
| Find all providers in BALDWIN | ||||
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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.