FARMVILLE INTERNAL MEDICINE PA
NPI 1710942610
Family Medicine in Farmville, NC

NPI Status: Active since April 20, 2006

Contact Information

3485 N MAIN ST
FARMVILLE, NC
ZIP 27828
Phone: (252) 753-3193
Fax: (252) 753-7966

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 34D0241882
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-26-2025

About FARMVILLE INTERNAL MEDICINE PA

This page provides the complete NPI Profile along with additional information for Farmville Internal Medicine Pa, a primary care provider established in Farmville, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1710942610 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 20000090 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Ricardo Enrique Marana Md (President)

NPI
1710942610
Provider Name
FARMVILLE INTERNAL MEDICINE PA
Entity Type
Organization
Location Address
3485 N MAIN ST FARMVILLE, NC 27828
Location Phone
(252) 753-3193
Location Fax
(252) 753-7966
Mailing Address
3485 N MAIN ST FARMVILLE, NC 27828
Mailing Phone
(252) 753-3193
Mailing Fax
(252) 753-7966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2006
Last Update Date
04-20-2009
Code Navigator

A primary care provider (PCP) like Farmville Internal Medicine Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
20000090
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

200000090 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICARDO ENRIQUE MARANA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(252) 753-3193

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
126A3OTHER (01)NCBLUE CROSS BLUE SHIELD
89126A3MEDICAID (05)NC 
P00379704OTHER (01)NCRAILROAD MEDICARE (PIN)
H16338MEDICARE UPIN (02)NC 
DF6187OTHER (01)NCRAILROAD MEDICARE (GROUP NUMBER)
2336381MEDICARE PIN (08)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0241882
Facility Type
Physician Office
Certificate Effective Date
September 27, 2023
Certificate Expiration Date
September 26, 2025
Laboratory Director
KENNETH M. LOVETTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Farmville Internal Medicine Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710942610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720184462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 4 + 4 + 6 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710942610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. ENRIQUE VILLA MARANA MD

Family Medicine

3485 N MAIN ST
FARMVILLE, NC
ZIP 27828

(252) 753-3193

DR. KENNETH MAURICE LOVETTE MD

General Practice

3485 N MAIN ST
FARMVILLE, NC
ZIP 27828

(252) 753-3193

CHRISTINA KIDD NP-C

Nurse Practitioner

3485 N MAIN ST
FARMVILLE, NC
ZIP 27828

(252) 753-3193

HALEY DICKERSON UPCHURCH

Nurse Practitioner

3485 N MAIN ST
FARMVILLE, NC
ZIP 27828

(252) 753-3193

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710942610, enumerated as an "organization" on April 20, 2006.

The provider is located at 3485 N MAIN ST FARMVILLE, NC 27828 and the phone number is (252) 753-3193.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Blue Cross. Please consult your insurance carrier or call the provider to verify.