Mark A Faruque, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33651 Issued in NC

Practice address

174 Bolick LN
Suite 202
Taylorsville, NC 28681-3319

Phone

(828) 495-8226

Fax

(828) 495-4191

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bethlehem Family Practice, PA

  • Rural Health Clinic/Center
  • Taylorsville, NC
  • NPI 1245218940
  NPD Authorized official
• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1386764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2536",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN",
            "address_2": "SUITE 202",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813319",
            "telephone_number": "828-495-8226",
            "fax_number": "828-495-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931374",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348918A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Akers England
• Erin Davis Counseling Services PLLC
• Family Care Center , P.a.
• Family Care Center, P.a
• James Robert Farmer, P.T.,C.H.T.
• Russell W Faulkenberry, M.D.
• Fenton Chiropractic PA
• Fenton Chiropractic PA
• Wayne John Fenton, DC
• Anna F Ferguson, RPH

• Family Medicine Physician in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.