Provider Demographics
NPI:1194253898
Name:FARTHING, BENJAMIN MARKUS (DO, PHARMD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:MARKUS
Last Name:FARTHING
Suffix:
Gender:M
Credentials:DO, PHARMD
Other - Prefix:DR
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:FARTHING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, PHARMD
Mailing Address - Street 1:27100 CHARDON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 W GREEN MEADOWS DR STE 110
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3205
Practice Address - Country:US
Practice Address - Phone:792-131-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024652A183500000X
IN01085768A208D00000X, 207N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No183500000XPharmacy Service ProvidersPharmacist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program