Jodi L Farley (NPI# 1861784514, PAC ID# 6204053465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1861784514 |
| PAC ID by PECOS | 6204053465 |
| Professional Enrollment ID | I20140812000649 |
| Full Name | Jodi L Farley |
| Organization Legal Name | PRIMECARE ON WIXOM PLLC |
| Address |
27250 Wixom Rd A Novi MI 48374-1116 |
| Phone Number | 2482941101 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032466537 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 27250 Wixom Rd A, Novi, MI 48374-1116 | 2482941101 | PRIMECARE ON WIXOM PLLC |
| Organization Legal Name | PRIMECARE ON WIXOM PLLC |
| Physicians | 1 |
| Street Address |
27250 WIXOM RD A |
| City | NOVI |
| State | MI |
| Zip | 48374-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Amy R Shepard | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Eric A Tomei | Physical Therapy | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NOVI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jodi L Farley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.