Kirby Farnsworth, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q1981 Issued in TX

Practice address

520 Rose LN
Wickenburg, AZ 85390-1447

Phone

(928) 668-1803

Fax

(928) 684-2434

NPI assigned

May 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX, NM3 enrollments

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 3

Specialty

Emergency Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

FHMC ClinicGroup PAC ID 8729497706, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sun Hospice Inc Hospice, Peoria, AZ, CCN 031757
• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirbyfarnsworth@lprh.medalliesdirect.net
• Direct secure messaging: kirbyfarnsworth@rghnm.medalliesdirect.net

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Good Shepherd Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Chandler, AZ
  • NPI 1760074249

  Contracted Managing Employee

  CMS ownership
• Sun Hospice Inc

  • Community Based Hospice Care Agency
  • Prescott,, AZ
  • NPI 1548836828

  Contracted Managing Employee

  CMS ownership

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.

• FHMC Clinic

  • Emergency Medicine Physician
  • Fountain Hills, AZ
  • NPI 1043830623

  AZ, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  AZ

  Medicare reassignment Care Compare group
• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852

  AZ

  Medicare reassignment NPD
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752

  AZ, Emergency Medicine

  Medicare reassignment NPD
• FHMC Operating PC

  • Adult Medicine Physician
  • Fountain HLS, AZ
  • NPI 1295355881

  AZ, Emergency Medicine

  Medicare reassignment NPD
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555

  AZ

  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Usacs Emergency Medicine of Arizona, LLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1770392490

  AZ, Emergency Medicine

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  Emergency Medicine, TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  Emergency Medicine, TX

  Medicare reassignment NPD
• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441

  Emergency Medicine, NM

  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  AZ, Family Medicine

  Medicare reassignment NPD

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

• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852

  Hospital

  Care Compare affiliation
• Sun Hospice Inc

  • Community Based Hospice Care Agency
  • Prescott,, AZ
  • NPI 1548836828

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1124464839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-404-2244",
            "fax_number": "623-404-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-668-1803",
            "fax_number": "928-684-2434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20470 N Lake Pleasant Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853829708",
            "country_code": "US",
            "telephone_number": "623-404-2244",
            "fax_number": "623-404-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "KIRBY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006965",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith K Ferriell, C.N.P.
• Mandi L. Filla, CNP
• Harry L Fisher, LPC-24724
• Edward R Flamand, PT
• Janell Marie Flamand, PT

• All providers in Wickenburg, AZ
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.