Donna Brian Fargason, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

023078 Issued in LA

Practice address

9311A Bluebonnet Blvd
Baton Rouge, LA 70810-2806

Phone

(225) 769-5551

Fax

(225) 769-5583

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1003930280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311A BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102806",
            "telephone_number": "225-769-5551",
            "fax_number": "225-769-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311A BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102806",
            "telephone_number": "225-769-5551",
            "fax_number": "225-769-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGASON",
        "first_name": "DONNA",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "023078",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "023078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Therapy Clinic, Inc.
• Famson Rehabilitation Company
• Ayodeji O Famuyide, M.ED, PT, FAAOMPT
• Crayton Fargason, M.D.
• David Fargason, MD
• Shannon Leilani Farho, MA
• Farley Primary Care
• Jacqueline Ross Farley, FNP
• William John Farley, MD
• Christina Derbes Farlow, RDN

• Psychiatry Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.