NPIMap

Individual provider Active NPI

Kathryn E. Farniok, M.D.

  • Radiation Oncology Physician
  • Saint Paul, MN
National Provider Identifier
1114978335
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30254 Issued in MN
Practice address
345 Sherman St
Saint Paul, MN 55102-2401
Phone
(651) 251-5500
Fax
(651) 251-5555
NPI assigned
May 12, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 30254 MN Primary

Addresses

Primary practice location

345 Sherman St
Saint Paul, MN 55102-2401

Mailing address

345 Sherman St
Suite 100
Saint Paul, MN 55102-2401
Phone (651) 251-5500

Other identifiers 4

IdentifierTypeStateIssuer
084708900MedicaidMN
31650500MedicaidWI
1009102OtherMNPREFERRED ONE
2400212OtherMNMEDICA

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Radiation Oncology Past Accepting new patients
Metropolitan Anesthesia Network, LLP Past Accepting new patients
Minnesota Oncology Hematology, PA Radiation Oncology PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Radiation Oncology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1114978335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SHERMAN ST",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022401",
            "telephone_number": "651-251-5500",
            "fax_number": "651-251-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SHERMAN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022401",
            "telephone_number": "651-251-5500",
            "fax_number": "651-251-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNIOK",
        "first_name": "KATHRYN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "30254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084708900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31650500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1009102",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2400212",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.