Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101266445 | VA |
N | 208000000X | Pediatrician | 35.138849 | OH |
N | 2080N0001X | Neonatal-Perinatal Doctor | 0101266445 | VA |
N | 2080P0204X | Pediatric Emergency Doctor | 0101266445 | VA |
Y | 2080P0204X | Pediatric Emergency Doctor | 35.138849 | OH |
NPI | 1205299708 |
---|---|
Provider Name | Dr. Peter Frederick Farmer |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 02/12/2021 |