Active NPI
Retina Care Group, Inc
- Ophthalmology Physician
- Farrell, PA
National Provider Identifier
1053039636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA CARE GROUP, INC
- Practice address
- 350 Sharon New Castle Rd
Farrell, PA 16121-1576 - Phone
- (724) 248-2020
- NPI assigned
- Aug 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Estafanous, MD
- Title
- MD
- Phone
- (724) 248-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
350 Sharon New Castle Rd
Farrell, PA 16121-1576
Mailing address
350 Sharon New Castle Rd
Farrell, PA 16121-1576
Phone (724) 248-2020
Other practice location 1
24 Doctors Ln Ste 101
Clarion, PA 16214-8568
Phone (724) 248-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
390 Linden St
Lowr
Meadville, PA 16335
Phone (724) 248-2020
390 Linden St
Meadville, PA 16335
Phone (412) 466-8011
177 Enclave Dr
New Castle, PA 16105
Phone (724) 658-5523
Interoperability endpoints
- mestafanous@estafanous.intellechartdirect.net
- amehra@estafanous.intellechartdirect.net
- shuang@estafanous.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Farrell, PA
- NPI 1437151743
OH
-
- Ophthalmology Physician
- Farrell, PA
- NPI 1225492028
-
- Ophthalmology Physician
- Warrendale, PA
- NPI 1932463585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1053039636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SHARON NEW CASTLE RD",
"city": "FARRELL",
"state": "PA",
"postal_code": "161211576",
"telephone_number": "724-248-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SHARON NEW CASTLE RD",
"city": "FARRELL",
"state": "PA",
"postal_code": "161211576",
"telephone_number": "724-248-2020"
}
],
"practiceLocations": [
{
"address_1": "24 Doctors Ln Ste 101",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "PA",
"postal_code": "162148568",
"country_code": "US",
"telephone_number": "724-248-2020",
"fax_number": "724-936-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RETINA CARE GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-18",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "ESTAFANOUS",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "724-248-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farrell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.