NPIMap

Organization Active NPI

Johann Farley MD PC

  • Primary Care Clinic/Center
  • Merrillville, IN
National Provider Identifier
1972649630
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01060680A Issued in IN
Legal business name
JOHANN FARLEY MD PC
Practice address
8300 Broadway Ste D2
Merrillville, IN 46410-8603
Phone
(219) 649-0044
Fax
(219) 649-0055
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Johann David Farley, M.D.NPI 1043275761
Title
President
Phone
(219) 801-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01060680A IN Primary
Primary Care Clinic/Center 261QP2300X 46905-20 WI
Primary Care Clinic/Center 261QP2300X A89493 CA

Addresses

Primary practice location

8300 Broadway Ste D2
Merrillville, IN 46410-8603

Mailing address

8300 Broadway Ste D2
Merrillville, IN 46410-8603
Phone (219) 649-0044

National Provider Directory

National Provider Directory

Locations

8300 Broadway
Ste D2
Merrillville, IN 46410
Phone (219) 306-0674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1972649630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE D2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108603",
            "telephone_number": "219-649-0044",
            "fax_number": "219-649-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE D2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108603",
            "telephone_number": "219-649-0044",
            "fax_number": "219-649-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANN FARLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JOHANN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-801-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01060680A",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "46905-20",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A89493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.