Individual provider Active NPI

Barbara L. Fare, M.D.

  • Internal Medicine Physician
  • Orange City, FL
National Provider Identifier
1669463576
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85311 Issued in FL
Practice address
2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129
Phone
(386) 456-2080
Fax
(386) 456-2122
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85311 FL Primary

Addresses

Primary practice location

2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129

Mailing address

2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129
Phone (386) 456-2080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000620 FL Practitioner - Internal Medicine 1355520974 Practice locations: Orange City, FL

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1669463576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-456-2080",
            "fax_number": "386-456-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-456-2080",
            "fax_number": "386-456-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARE",
        "first_name": "BARBARA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.