Individual
WAYNE L FARLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
642 W HOSPITAL RD, PAOLI, IN 47454-9672
(812) 723-7450
(812) 723-7450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02007422A
IN
207V00000X
Obstetrics & Gynecology Physician
H8031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101742507
ANTHEM PTAN
IN
05
—
131883413
—
TX
05
—
131883414
—
TX
05
—
131883415
—
TX
05
—
131883417
—
TX
05
—
131883418
—
TX
01
—
163460062
MEDICARE PTAN
IN
05
—
300088888
—
IN
01
—
8BD720
BCBS
TX
Enumeration date
05/10/2006
Last updated
08/13/2025
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