Organization Active NPI

Dusky R. Farmer, DPM, LLC

  • Foot Surgery Podiatrist
  • Evansville, IN
National Provider Identifier
1275735086
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000944A Issued in IN
Legal business name
DUSKY R. FARMER, DPM, LLC
Practice address
4501 Upper Mount Vernon Rd
Evansville, IN 47712-6421
Phone
(812) 421-8555
Fax
(812) 402-2139
NPI assigned
Jun 4, 2007
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Dusky Rideout Farmer, DPMNPI 1114904935
Title
Owner
Phone
(812) 421-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 07000944A IN Primary

Addresses

Primary practice location

4501 Upper Mount Vernon Rd
Evansville, IN 47712-6421

Mailing address

4501 Upper Mount Vernon Rd
Evansville, IN 47712-6421
Phone (812) 421-8555

Other identifiers 1

IdentifierTypeStateIssuer
20085820MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000419 IN Part B Supplier - Clinic/Group Practice 6901810332 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN
O20100930069733 IN DME Supplier - Physician - Podiatry 6901810332 Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1275735086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 UPPER MOUNT VERNON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126421",
            "telephone_number": "812-421-8555",
            "fax_number": "812-402-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 UPPER MOUNT VERNON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126421",
            "telephone_number": "812-421-8555",
            "fax_number": "812-402-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSKY R. FARMER, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "DUSKY",
        "authorized_official_middle_name": "RIDEOUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-421-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20085820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.