Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicolas Max Farenwald, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427636034

Nicolas Max Farenwald, DO is a Family Practice in Troy, Ohio. Qualified in 2021, 5 years ago. Practices with Upper Valley Professional Corporation, a 81-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio and Virginia.

Years since qualifying
5
Licensed in
OH, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

31 S Stanfield Rd Ste 301
Troy, OH 45373-2334
Phone: (937) 339-1518
Fax: (937) 339-1538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3130 N County Road 25a Ste 116, Troy, OH 45373-1337 — (937) 335-3561
  • 600 Aviator Ct Ste 210, Vandalia, OH 45377-9475 — (937) 832-4773
  • 1906 Belleview Ave Se, Roanoke, VA 24014-1838 — (540) 981-7000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.017747CTR (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (VA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 34.017747 (OH)

Record details

NPI number1427636034
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Upper Valley Professional Corporation — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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