Marcia K Fargo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN5865674 Issued in PA

Practice address

20 School St
Bradford, PA 16701-1257

Phone

(814) 362-7466

Fax

(814) 362-9803

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Olean General Hospital

  • Pediatrics Physician
  • Bradford, PA
  • NPI 1073956850
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1417102005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCHOOL ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011257",
            "telephone_number": "814-362-7466",
            "fax_number": "814-362-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCHOOL ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011257",
            "telephone_number": "814-362-7466",
            "fax_number": "814-362-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGO",
        "first_name": "MARCIA",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN5865674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Elm, Inc.
• Exigence of Bradford LLC
• Yahya Fadl, MD
• Family Eye Health Center P C
• Family Wellness Chiropractic Inc.
• Deanann Farris, D.O.
• Virginia G Fass
• Dennis Lee Faucher, DDS
• Roger Feura, RPH
• Alisa Fishkin

• Registered Nurse in Bradford, PA
• Providers in Bradford, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.