Active NPI
James Joseph Faremouth Jr., DO
- Family Medicine Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9581
- Practice address
- 8360 Sierra Meadows Blvd
Naples, FL 34113-7328 - Phone
- (239) 624-8300
- Fax
- (239) 430-7805
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9581 | FL | Primary |
Addresses
Primary practice location
8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Mailing address
8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Phone (239) 624-8300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09467 | Other | FL | FL BC |
| AH972X | Other | FL | MEDICARE |
| 280274100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080304000671 | FL | Practitioner - Family Practice | 6002717907 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12250 Tamiami TRL E
Suite 202
Naples, FL 34113-8421
Phone (239) 692-8934
5077 Tamiami Trail E
Naples, FL 34113-4111
5175 Tamiami Trail E
Naples, FL 34113-4100
Phone (239) 775-5050
Hospital & facility affiliations
- Preferred Care Home Health Services
- Naples Community Hospital
- Premier Place at the Glenview
- Solaris Healthcare Lely Palms
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr J S House Calls LLC | Family Medicine | Current | Accepting new patients |
| Anchor Health Centers PA | Family Medicine | Past | Accepting new patients |
| Macomb Family Care PC | Past | Accepting new patients |
Locations
5077 Tamiami Trl E
Naples, FL 34113
Phone (239) 732-1133
12250 Tamiami Trl E
Ste 202
Naples, FL 34113
Phone (239) 692-8934
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Marco Island, FL
- NPI 1215333596
Family Medicine, FL
-
- General Practice Physician
- Clinton TWP, MI
- NPI 1568507218
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124056015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8360 SIERRA MEADOWS BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341137328",
"telephone_number": "239-624-8300",
"fax_number": "239-430-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8360 SIERRA MEADOWS BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341137328",
"telephone_number": "239-624-8300",
"fax_number": "239-430-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAREMOUTH",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BC",
"identifier": "09467",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AH972X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280274100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.