Valerie Lee Farris, M.D.
Individual provider Active NPI Internal Medicine Physician · Jay, OK
NPI 1104807387 · NPPES record last updated Jan 29, 2015
Key facts
- NPI
- 1104807387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 23261 (OK)
- Practice address
- 1569 N Main St
Jay, OK 74346-2903 - Phone
- (918) 253-1900
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171020000977 | TX | Order and Referring Only - Internal Medicine |
0244144327 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23261 | OK | Yes |
Addresses
Primary practice location
1569 N Main St
Jay, OK 74346-2903
Mailing address
10842 Highway 82a
Tahlequah, OK 74464-6278
Phone (918) 253-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146994001 | Medicaid | AR | |
| 100071900A | Medicaid | OK |
Other providers in Jay, OK
- June Kristine Dugan
- Kimberli Sue Dunham
- Jeanna Lynne Eads
- Echota Behavioral Health Services, LLC
- Robyn Dale Ehrie
- Fayetteville Vamc
- Shannon Marie Ficinus
- Jade Alexandria Frazier
- Julia Laverne Furniss-Roberts
- Brittany Corrin Gettig
All providers in Jay, OK · Internal Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.