Active NPI
Joseph William Farina Jr., M.D.
- Neurology Physician
- Cullman, AL
National Provider Identifier
1710011499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12157
- Practice address
- 1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273 - Phone
- (256) 736-1615
- Fax
- (256) 736-1579
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11664 | MS | |
| Neurology Physician | 2084N0400X | 12157 | AL | Primary |
Addresses
Primary practice location
1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273
Mailing address
1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273
Phone (256) 736-1615
Other practice location 1
118 N Broadway
2nd Floor
McComb, MS 39648-3914
Phone (601) 249-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0118301 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11664 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mittal Kidney and Dialysis PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCFDAA
Organizations & group practices 1
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.
-
- Nephrology Physician
- Cordova, TN
- NPI 1831201466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1710011499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 AL HIGHWAY 157 STE 100",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581273",
"telephone_number": "256-736-1615",
"fax_number": "256-736-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 AL HIGHWAY 157 STE 100",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581273",
"telephone_number": "256-736-1615",
"fax_number": "256-736-1579"
}
],
"practiceLocations": [
{
"address_1": "118 N Broadway",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396483914",
"country_code": "US",
"telephone_number": "601-249-2491",
"fax_number": "601-249-2885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARINA",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "11664",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "12157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0118301",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.