Individual provider Active NPI

Noreen C Faulkner, MD

  • Obstetrics & Gynecology Physician
  • Marion, IN
National Provider Identifier
1932196409
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01068603 Issued in IN
Practice address
1419 W Bella Dr
Marion, IN 46953-5250
Phone
(765) 660-7580
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00027783 WA
Obstetrics & Gynecology Physician 207V00000X 01068603 IN Primary

Addresses

Primary practice location

1419 W Bella Dr
Marion, IN 46953-5250

Mailing address

1419 W Bella Dr
Marion, IN 46953-5250
Phone (765) 660-7580

Other identifiers 5

IdentifierTypeStateIssuer
000000672807OtherINBCBS
200993280MedicaidIN
8141277MedicaidWA
113642OtherWAL & I
160058993OtherWARR MEDICARE

Other names 1

  • Noreen C Buiting Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000115 AZ Practitioner - Obstetrics/Gynecology 1456496157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 Lawndres Hill Rd
Greenville, SC 29607-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01068603INMDObstetrics & Gynecology Physician
MD00027783WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince Apr 24, 2024 Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients

Locations

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: nfaulkner1147795@direct.trinity-health.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1932196409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535250",
            "telephone_number": "765-660-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535250",
            "telephone_number": "765-660-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "NOREEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00027783",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01068603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000672807",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200993280",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8141277",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "113642",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160058993",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOREEN",
            "last_name": "BUITING",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.