Favero Family Practice Incorporated

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102202434 Issued in VA

Legal business name

FAVERO FAMILY PRACTICE INCORPORATED

Doing business as

Martinsville Family Medicine

Practice address

445 Commonwealth Blvd E
Suite a
Martinsville, VA 24112-2086

Phone

(276) 666-0500

Fax

(276) 666-0400

NPI assigned

May 25, 2010

Last updated

May 25, 2010By 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

Dr. John Patrick Favero Jr., D.O.

Title

Director

Phone

(276) 666-0500

Specialties & licenses 1

Addresses

Other names 1

• MARTINSVILLE FAMILY MEDICINE Doing business as

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.

• Brook Powell Nelson, PA-C

  • Physician Assistant
  • Martinsville, VA
  • NPI 1366731200
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1912226358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5544",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241155544",
            "telephone_number": "276-666-0500",
            "fax_number": "276-666-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122086",
            "telephone_number": "276-666-0500",
            "fax_number": "276-666-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVERO FAMILY PRACTICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FAVERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "276-666-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTINSVILLE FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Preservation Services, Inc
• Family YMCA, Inc.
• Alice F Farmer, PHD
• Ayokunle Fatade, D.O.
• Carolyn Faulkner, LPC
• John Patrick Favero Jr., D.O.
• Bennett Ira Fein, MD
• Aleshia Monique Ferrell, MSW
• Erica Sule Ficarrotto, PT
• Hannah Elise Finney

• Family Medicine Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.