Active NPI
Jack D Farling, PA-C
- Medical Physician Assistant
- Marion, OH
National Provider Identifier
1942398110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50000262
- Practice address
- 241 Executive Dr
Marion, OH 43302-6307 - Phone
- (740) 387-3256
- Fax
- (740) 383-4906
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50000262 | OH | Primary |
Addresses
Primary practice location
241 Executive Dr
Marion, OH 43302-6307
Mailing address
241 Executive Dr
Marion, OH 43302-6307
Phone (740) 387-3256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091779 | Medicaid | OH |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50000262 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Richland County, LTD | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1952341380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1942398110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 EXECUTIVE DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026307",
"telephone_number": "740-387-3256",
"fax_number": "740-383-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 EXECUTIVE DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026307",
"telephone_number": "740-387-3256",
"fax_number": "740-383-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLING",
"first_name": "JACK",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50000262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091779",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.