Dr. Farrell, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

M-6441 Issued in ID

Legal business name

DR. FARRELL, LLC

Practice address

301 W Myrtle St
Boise, ID 83702

Phone

(208) 342-8200

Fax

(208) 342-8202

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Edward Farrell, MD

Title

Provider

Phone

(208) 705-3199

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark Hunter Allen, M.D.

  • Neurological Surgery Physician
  • Idaho Falls, ID
  • NPI 1780679126
  NPD (past)
• Mary Elizabeth Gerard, MD

  • Neurology Physician
  • Pocatello, ID
  • NPI 1578667739
  NPD (past)
• Ryan Don Hope, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Pocatello, ID
  • NPI 1881897932

  Pain Medicine

  NPD (past)
• William Scott Huneycutt, M.D.

  • Neurological Surgery Physician
  • Pocatello, ID
  • NPI 1003800699
  NPD (past)
• Steven Boe Simmons, PA-C

  • Physician Assistant
  • Pocatello, ID
  • NPI 1740212190
  NPD (past)
• Mary M Himmler, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Minneapolis, MN
  • NPI 1598877896
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1194924514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 E PARKCENTER BLVD # 273",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-342-8200",
            "fax_number": "208-342-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83702",
            "country_code": "US",
            "telephone_number": "208-342-8200",
            "fax_number": "208-342-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. FARRELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "208-705-3199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ID",
            "license": "M-6441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003692900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "76755",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010158339",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Doyle, OTR/L
• Ryan K Doyle, D.D.S.
• Alma Dozier, RN
• Dr Jeremy Brown DMD PA (Boise Dental Arts)
• Dr Lauren Baker Physical Therapy and Wellness LLC (Dr. Lauren Baker In Home Pediatric Physical Therapy)
• Dr. Kaci B. Jensen, PLLC
• Dr. Michael D. Rae, DC, PLLC
• Dr. Mick L. Tiegs, Inc., PS (Northside Chiropractic)
• Dr. William Stano (The Walking Center)
• Dr.Uma's Healing and Creative Arts Center Inc.

• Interventional Pain Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Interventional Pain Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.