Individual provider Active NPI

Richard F Farah, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1073523213
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2483 Issued in AK
Practice address
3300 Providence Dr
Suite 207, Providence Anchorage Anesthesia Medical Grou
Anchorage, AK 99508-4619
Phone
(907) 561-0005
Fax
(907) 563-9140
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2483 AK Primary

Addresses

Primary practice location

3300 Providence Dr
Suite 207, Providence Anchorage Anesthesia Medical Grou
Anchorage, AK 99508-4619

Mailing address

3300 Providence Dr
Suite 207, Providence Anchorage Anesthesia Medical Gro
Anchorage, AK 99508-4619
Phone (907) 561-0005

Other identifiers 1

IdentifierTypeStateIssuer
2483MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2483AKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Anesthesiology Past Accepting new patients

Organizations & group practices 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1073523213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR",
            "address_2": "SUITE 207, PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GRO",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR",
            "address_2": "SUITE 207, PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROU",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "2483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.