Provider Demographics
NPI:1801821723
Name:FARINET, CATHERINE L (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:FARINET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DAWN LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9138
Mailing Address - Country:US
Mailing Address - Phone:740-947-2186
Mailing Address - Fax:740-947-6556
Practice Address - Street 1:100 INDIAN RIDGE DR
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9654
Practice Address - Country:US
Practice Address - Phone:740-289-1548
Practice Address - Fax:740-289-3989
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077357208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
7956639OtherAETNA
OHP00240826OtherRAILROAD MEDICARE
0410201OtherUNITED HEALTHCARE
OH000000360862OtherANTHEM
OH2546749Medicaid
OH2546749Medicaid
OH7331651Medicare ID - Type Unspecified