Active NPI
Donna R Farrell, DO
- Family Medicine Physician
- Meadowbrook, PA
National Provider Identifier
1104897172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006848L
- Practice address
- 1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004 - Phone
- (215) 947-7924
- Fax
- (214) 947-0187
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006848L | PA | Primary |
Addresses
Primary practice location
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Mailing address
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone (215) 947-7924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257214 | Medicaid | PA | |
| 080095806 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110404000495 | PA | Practitioner - Family Practice | 9739363516 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006848L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery County Medical Associates, LTD. | Current | Accepting new patients |
Locations
1650 Huntingdon Pike
Ste 156
Meadowbrook, PA 19046
Phone (215) 745-3580
8014 Burholme Ave
Philadelphia, PA 19111
Phone (215) 745-4500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIDBBA
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.
-
- Internal Medicine Physician
- Meadowbrook, PA
- NPI 1871530618
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1104897172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 156",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468004",
"telephone_number": "215-947-7924",
"fax_number": "214-947-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 156",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468004",
"telephone_number": "215-947-7924",
"fax_number": "214-947-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "DONNA",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006848L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1257214",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080095806",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadowbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.