Marc Van Farnworth, MD

Key facts

NPI

1124288758

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

M-10859 (ID)

Practice address

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Phone

(208) 814-4100

Fax

(208) 814-4908

NPI assigned

Jun 17, 2008

Sex

Male

Sole proprietor

Yes

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.

• St Luke'S Clinic LLC Family Medicine Physician · Twin Falls, ID · NPI 1790718229
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · ID
• Pocatello Health Services, LLC General Acute Care Hospital · Pocatello, ID · NPI 1689802852
  NPD
• Pocatello Hospital LLC Internal Medicine Physician · Pocatello, ID · NPI 1760610935
  NPD
• St Luke'S Magic Valley Regional Medical Center LTD Community/Retail Pharmacy · Twin Falls, ID · NPI 1760203921
  NPD (past)

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc. General Acute Care Hospital · Burley, ID · NPI 1497865315
  Care Compare affiliation Hospital
• Pocatello Hospital LLC Rehabilitation Hospital Unit · Pocatello, ID · NPI 1144262114
  Care Compare affiliation Hospital
• Pocatello Hospital LLC General Acute Care Hospital · Pocatello, ID · NPI 1790751055
  Care Compare affiliation Hospital
• St Lukes Regional Medical Center Ambulance · Boise, ID · NPI 1518115195
  Care Compare affiliation Hospital
• St Lukes Regional Medical Center General Acute Care Hospital · Boise, ID · NPI 1770586794
  Care Compare affiliation Hospital
• St Lukes Wood River Medical Center LTD Critical Access Hospital · Ketchum, ID · NPI 1508869470
  Care Compare affiliation Hospital
• St. Luke'S Magic Valley Regional Medical Center, LTD. General Acute Care Hospital · Twin Falls, ID · NPI 1932154705
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice
Also: Internal Medicine

Education

University of Michigan Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Clinic LLC (313 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital · Twin Falls, ID · CCN 130002
• St Luke'S Wood River Medical Center Hospital · Ketchum, ID · CCN 131323
• Portneuf Medical Center Hospital · Pocatello, ID · CCN 130028
• St Luke'S Regional Medical Center Hospital · Boise, ID · CCN 130006
• Cassia Regional Hospital Hospital · Burley, ID · CCN 131326

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2025.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1124288758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015810",
            "telephone_number": "208-814-4100",
            "fax_number": "208-814-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNWORTH",
        "first_name": "MARC",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Pharmacy
• Family Physical Therapy & Sports Medicine Clinic
• Chelsea M Farnsworth, APRN-CNP, CNE, FNP-C
• Eric Fast, FNP
• Corine Faught
• Aleshia Faulkner
• Benjamin H Feldman, MD
• Tammy L Felps, PHD, SE, LCPC

All providers in Twin Falls, ID · Family Medicine Physician in Idaho