Individual provider Active NPI

Kyle Christopher Farley, D.O.

  • Family Medicine Physician
  • North Canton, OH
National Provider Identifier
1083008874
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35012518 Issued in OH
Practice address
4860 Frank Ave NW
North Canton, OH 44720-7426
Phone
(330) 494-7099
Fax
(330) 494-2147
NPI assigned
Mar 19, 2015
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35012518 OH Primary

Addresses

Primary practice location

4860 Frank Ave NW
North Canton, OH 44720-7426

Mailing address

3946 Millsbrae Ave
Apt B
Cincinnati, OH 45209-2038

Other practice location 1

1900 23rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170925003283 OH Practitioner - Family Practice 4082988332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians IncGroup PAC ID 9436176799, 9 clinicians

Practice addresses (Care Compare)

4860 Frank Ave NW
North Canton, OH 44720-7426
Phone 3304947099201

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35012518OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Inc Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
My Community Health Center Single Specialty CurrentSince Jan 17, 2020 Accepting new patients
My Community Health Center Family Medicine CurrentSince Jan 17, 2020 Accepting new patients

Locations

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

4860 Frank Ave NW
North Canton, OH 44720
Phone (216) 494-7099

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kfarley@fpi-oh.direct.office.nextgen.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1083008874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 MILLSBRAE AVE",
            "address_2": "APT B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207426",
            "telephone_number": "330-494-7099",
            "fax_number": "330-494-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 23rd St",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442231404",
            "country_code": "US",
            "telephone_number": "330-971-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "KYLE",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35012518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.