| Mark Owen Farmer, MD | |
|
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
| (440) 350-0832 | |
| (440) 579-0191 |
| Full Name | Mark Owen Farmer |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 36000 Euclid Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144282468 | NPI | - | NPPES |
| 376111 | Other | OH | ANTHEM BCBS |
| 0131128 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35066510 (Ohio) | Primary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Owen Farmer, MD 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 | Mark Owen Farmer, MD 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 350-0832 |
Dr. Henry Emil Vucetic, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 202, Willoughby, OH 44094 Phone: 440-953-5760 Fax: 440-953-5761 | |
Joseph P Capichioni, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 | |
Dr. James Francis Donohue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 | |
Dr. Cailin M Stubbs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 403-500-8324 Fax: 440-579-0191 | |
Dr. David W Delzell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 | |
Dr. Andre M Decates, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 |