Organization Active NPI

Michael M Ferraro, M.D., LLC

  • Gynecology Physician
  • Wilkes Barre, PA
National Provider Identifier
1932392990
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD026735E Issued in PA
Legal business name
MICHAEL M FERRARO, M.D., LLC
Practice address
545 N River St
Wilkes Barre, PA 18702-2600
Phone
(570) 270-4516
Fax
(570) 208-8800
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Mrs. Donna Baird
Title
Practice Manager
Phone
(570) 288-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X MD026735E PA Primary

Addresses

Primary practice location

545 N River St
Wilkes Barre, PA 18702-2600

Mailing address

545 N River St
Wilkes Barre, PA 18702-2600
Phone (570) 270-4516

Other identifiers 1

IdentifierTypeStateIssuer
0008931930008MedicaidPA

National Provider Directory

National Provider Directory

Locations

545 N River St
Wilkes Barre, PA 18702
Phone (570) 208-8800

545 N River St
Ste 100
Wilkes Barre, PA 18702
Phone (570) 208-8800

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1932392990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-270-4516",
            "fax_number": "570-208-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-270-4516",
            "fax_number": "570-208-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M FERRARO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-288-1121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD026735E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008931930008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.