Individual provider Active NPI

Rochelle E Farley, DO

  • Family Medicine Physician
  • Montgomery, TX
National Provider Identifier
1114976529
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8025 Issued in TX
Practice address
18059 Hwy 105 West
Ste 125
Montgomery, TX 77356
Phone
(936) 582-6622
Fax
(936) 582-5695
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 H8025 TX Primary

Addresses

Primary practice location

18059 Hwy 105 West
Ste 125
Montgomery, TX 77356

Mailing address

18059 Hwy 105 West
Ste 125
Montgomery, TX 77356
Phone (936) 582-6622

Other identifiers 1

IdentifierTypeStateIssuer
P00816305OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040629000412 TX Practitioner - Family Practice 4385620491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8025TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Clinics PLLC Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Questcare Medical Clinics PLLC Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Farley Medical Specialists Family Medicine Past Accepting new patients
Lone Star Community Health Center, Inc. Past Accepting new patients

Locations

1571 SW Wilshire Blvd
Ste 500
Burleson, TX 76028
Phone (817) 295-1121

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1114976529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18059 HWY 105 WEST",
            "address_2": "STE 125",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "936-582-6622",
            "fax_number": "936-582-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18059 HWY 105 WEST",
            "address_2": "STE 125",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "936-582-6622",
            "fax_number": "936-582-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "ROCHELLE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00816305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.