Robert Farmer MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0036097185 Issued in IL

Legal business name

ROBERT FARMER MD SC

Practice address

211 E Hanover St
New Baden, IL 62265-1811

Phone

(618) 588-2900

Fax

(618) 588-2904

NPI assigned

Aug 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Farmer, MDNPI 1629058102

Title

Owner

Phone

(618) 588-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T. Farmer, M.D.

  • Family Medicine Physician
  • New Baden, IL
  • NPI 1629058102
  NPD (past) Authorized official
• William G Koentz, DMD

  • General Practice Dentistry
  • New Baden, IL
  • NPI 1164442224
  NPD (past)
• Jon Cumberledge, MD

  • Family Medicine Physician
  • Franklin, TN
  • NPI 1285620344
  NPD (past)
• Fredrick H Wallisch, M.D.

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1528027950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1013101211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-2900",
            "fax_number": "618-588-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-2900",
            "fax_number": "618-588-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT FARMER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-588-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0036097185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356589729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Petraitis
• Professional Therapy Services, Inc.
• R. Douglas Dent
• Jessica Clara Reuss
• Amy Lynn Reynolds, FNP
• Pamela J Rout, DC
• Royal Living Center
• Royal Living Center Inc
• Lynn Kelly Ryder, LCPC
• Jennifer Sipula, PT

• Family Medicine Physician in New Baden, IL
• Providers in New Baden, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.