Provider Demographics
NPI:1669446803
Name:MACFARLAN, DUNCAN ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:ANDREW
Last Name:MACFARLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 TOWNBROOK CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-0680
Mailing Address - Country:US
Mailing Address - Phone:434-981-4271
Mailing Address - Fax:
Practice Address - Street 1:418 TOWNBROOK CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-0680
Practice Address - Country:US
Practice Address - Phone:434-981-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA142889OtherSOUTHERN HEALTH
VA267149OtherMAMSI
VA45185OtherCOMMUNITY HEALTH
VA45185OtherOPTIMA/SENTARA
VA005638658Medicaid
VA234063OtherANTHEM SVC/HEALTHKEEPERS
VA700010937OtherCIGNA
VA142889OtherSOUTHERN HEALTH
B09144Medicare UPIN
VA267149OtherMAMSI