Individual provider Active NPI

David Wayne Farrar, PA-C

  • Physician Assistant
  • Ord, NE
National Provider Identifier
1003006958
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1331 Issued in NE
Practice address
217 Westridge Dr
Ord, NE 68862-1675
Phone
(308) 728-4321
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1331 NE Primary

Addresses

Primary practice location

217 Westridge Dr
Ord, NE 68862-1675

Mailing address

217 Westridge Dr
Ord, NE 68862-1675
Phone (308) 728-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000591 NE Practitioner - Physician Assistant 2062506991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Rivers Urgent Care LLCGroup PAC ID 6406860543, 20 clinicians

Practice addresses (Care Compare)

3203 Osborne Dr W
Suite 101
Hastings, NE 68901-9140
Phone (402) 834-1005

750 Allen Dr
Grand Island, NE 68803-3328
Phone (308) 384-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1331NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Urgent Care LLC CurrentSince Jul 1, 2017 Accepting new patients
Twin Rivers Urgent Care LLC CurrentSince Jul 1, 2017 Accepting new patients
5MD Convenient Care LLC Past Accepting new patients
Kearney Pain Treatment Center, LLC Past Accepting new patients

Locations

720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500

750 Allen Dr
Grand Island, NE 68803
Phone (308) 382-9969

3203 Osborne Dr W
Ste 101
Hastings, NE 68901
Phone (308) 384-2500

220 W Leota St
North Platte, NE 69101
Phone (308) 534-2268

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEBAA/Endpoint/IAEBAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1003006958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WESTRIDGE DR",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621675",
            "telephone_number": "308-728-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WESTRIDGE DR",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621675",
            "telephone_number": "308-728-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.