Active NPI
Donald R Farley, DPM
- Podiatrist
- Painesville, OH
National Provider Identifier
1093783466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.002243
- Practice address
- 161 E Washington St
Painesville, OH 44077-3449 - Phone
- (440) 352-2201
- Fax
- (440) 352-0242
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.002243 | OH | Primary |
| Podiatrist | 213E00000X | 36002243 | OH |
Addresses
Primary practice location
161 E Washington St
Painesville, OH 44077-3449
Mailing address
1604 West 19TH Street
Ashtabula, OH 44004
Phone (440) 964-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0585531 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2243 | OH | MD | Chiropractor |
| 36002243 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Internal Medicine Associates, P.a. | Single Specialty | Past | Accepting new patients |
| Ashtabula Foot and Ankle Surgeons Inc | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADCFBA
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Ashtabula, OH
- NPI 1467889543
Single Specialty
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1770695850
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1093783466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 WEST 19TH STREET",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "44004",
"telephone_number": "440-964-5595",
"fax_number": "440-964-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 E WASHINGTON ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773449",
"telephone_number": "440-352-2201",
"fax_number": "440-352-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "DONALD",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36.002243",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002243",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585531",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.