Basic Information
Provider Information
NPI: 1265420996
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: REBECCA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5200 COMMERCE CROSSINGS DR FL 3
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402292182
CountryCode: US
TelephoneNumber: 5024896623
FaxNumber: 5024895751
Practice Location
Address1: 3900 KRESGE WAY
Address2: SUITE 60
City: LOUISVILLE
State: KY
PostalCode: 402074660
CountryCode: US
TelephoneNumber: 5028937710
FaxNumber: 5028931391
Other Information
ProviderEnumerationDate: 10/06/2005
LastUpdateDate: 02/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X01059281AINN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X38997KYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
6408738005KY MEDICAID


Home