Mary Elizabeth Farrar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0002642 Issued in MD

Practice address

7 Granite PL
Suite 14
Gaithersburg, MD 20878-6586

Phone

(240) 631-1170

Fax

(240) 631-1031

NPI assigned

Jun 12, 2006

Last updated

Jan 28, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medstar Physician Partners, Inc

  dba Medlantic Healthcare Group

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1477503118
  NPD (past)
• Montgomery Family Practice Associates, LLC

  • Family Medicine Physician
  • Olney, MD
  • NPI 1851358923
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1417999640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15117 WESTBURY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531763",
            "telephone_number": "301-929-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRANITE PL",
            "address_2": "SUITE 14",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786586",
            "telephone_number": "240-631-1170",
            "fax_number": "240-631-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118801100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farhad Naseh MD PA (Maryland Eye Institute)
• Fariba Rafizadeh, D.M.D. P.a. (Quince Orchard Family Dentistry)
• Enrique I Farina, DMD
• Sylvia Farmer
• Jolie Farnum Badley, MSC, CCC
• Kathleen Frekko Farrell, M.D.
• Nicole Farris, MS/EDS, LCPC, NCC
• Fatemi Family Dentistry LLC
• Lekan David Fatogun
• Laura Cruz Fawzy, LCPC

• Medical Physician Assistant in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.