Provider Demographics
NPI:1083634778
Name:FARMER, JOYCE A (DPM)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:FARMER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 N CHURCH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1002
Mailing Address - Country:US
Mailing Address - Phone:724-547-5566
Mailing Address - Fax:724-547-0910
Practice Address - Street 1:605 N CHURCH ST
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1000
Practice Address - Country:US
Practice Address - Phone:724-547-5566
Practice Address - Fax:724-547-0910
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002520L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008435OtherGATEWAY
PA1101554Medicaid
PA155657OtherMEDPLUS
PA241516OtherHEALTH AMERICA
PA1366713OtherUMWA
PA241516OtherADVANTRA
PAP00141711OtherRAILROAD MEDICARE
PA241516OtherHEALTH ASSURANCE
PA103322OtherUPMC
PAT30488Medicare UPIN