Provider Demographics
NPI:1083871727
Name:MARY ANN FARMER, DPM
Entity Type:Organization
Organization Name:MARY ANN FARMER, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-837-2657
Mailing Address - Street 1:545 RUGH ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5695
Mailing Address - Country:US
Mailing Address - Phone:724-837-2657
Mailing Address - Fax:724-837-5929
Practice Address - Street 1:545 RUGH ST STE 3000
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5695
Practice Address - Country:US
Practice Address - Phone:724-837-2657
Practice Address - Fax:724-837-5929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC002434-L213E00000X, 213EP1101X
PASC002434L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0877636Medicaid
PAT28308Medicare UPIN
PA1018960001Medicare NSC