Active NPI
Ronald A Farber, MD
- Family Medicine Physician
- Battle Creek, MI
National Provider Identifier
1639101298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301036618
- Practice address
- 11177 Michigan Ave E
Battle Creek, MI 49014-8904 - Phone
- (269) 660-5782
- NPI assigned
- Jul 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301036618 | MI | |
| Family Medicine Physician | 207Q00000X | 4301036618 | MI | Primary |
Addresses
Primary practice location
11177 Michigan Ave E
Battle Creek, MI 49014-8904
Mailing address
5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10/2736790 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1639101298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 STADIUM DR",
"address_2": "STE 1",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11177 MICHIGAN AVE E",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148904",
"telephone_number": "269-660-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARBER",
"first_name": "RONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301036618",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301036618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10/2736790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.