Martinsville Family Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173919 Issued in VA

Legal business name

MARTINSVILLE FAMILY MEDICINE

Doing business as

Favero Family Practice

Practice address

2696 Greensboro Rd
Martinsville, VA 24112-8106

Phone

(276) 638-7205

Fax

(276) 638-3389

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Patrick Favero Jr., DONPI 1750542197

Title

Owner/President

Phone

(276) 638-7205

Specialties & licenses 1

Addresses

Other names 1

• FAVERO FAMILY PRACTICE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Patrick Favero Jr., D.O.

  • Family Medicine Physician
  • Martinsville, VA
  • NPI 1750542197
  NPD Authorized official

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1902357940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128106",
            "telephone_number": "276-638-7205",
            "fax_number": "276-638-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128106",
            "telephone_number": "276-638-7205",
            "fax_number": "276-638-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "FAVERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "276-638-7205",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAVERO FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martinsville Chiropractic Center, Inc.
• Martinsville City Public Schools
• Martinsville ENT & Allergy, P.C.
• Martinsville Family Care LLC
• Martinsville Family Dentistry PC
• Martinsville Family Pharmacy
• Martinsville Henry County Coalition for Health and Wellness (MHC Community Dental Clinic)
• Martinsville Neurological Assoc., Inc
• Martinsville Optical Co., Inc.
• Martinsville Otolaryngology Associates, Inc

• Family Nurse Practitioner in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.