Randall Farrer, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA03227 Issued in TX

Practice address

3142 Horizon Rd Ste 100
Rockwall, TX 75032-7815

Phone

(817) 442-9300

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Texas Health Back Care

  • Physical Medicine & Rehabilitation Physician
  • Rockwall, TX
  • NPI 1811366982
  Medicare reassignment
• Texas Health Back Care

  • Physical Medicine & Rehabilitation Physician
  • Southlake, TX
  • NPI 1770952830

  Surgical

  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1043359920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 HORIZON RD STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327815",
            "telephone_number": "817-442-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 HORIZON RD STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327815",
            "telephone_number": "817-442-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRER",
        "first_name": "RANDALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 03227",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stt@116.direct.myezyaccess.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3142 Horizon Rd Ste 100",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750327815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David C Falls, DDS
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• Family Foot Clinic PC
• Aaron Farberg, M.D.
• Austin P Farmer, DDS
• Benjamin James Faul, LMFTA
• Tandy N Featherston Hagar, PT
• Harold Feldman, MFLC
• Jennifer Feltman, MD
• Melissa Lynne Ferguson, LPC

• Surgical Physician Assistant in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.