Individual provider Active NPI

Joseph Peter Farrell, DO

  • Emergency Medicine Physician
  • Jackson, MI
National Provider Identifier
1285690255
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.007479 Issued in OH
Practice address
110 N Elm Ave
Jackson, MI 49202-3571
Phone
(517) 788-6760
Fax
(517) 788-3029
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.007479 OH Primary
Emergency Medicine Physician 207P00000X 5101015920 MI

Addresses

Primary practice location

110 N Elm Ave
Jackson, MI 49202-3571

Mailing address

Department 272801
PO Box 67000
Detroit, MI 48267-2728
Phone (517) 841-6913

Other identifiers 2

IdentifierTypeStateIssuer
4728554MedicaidMI
P00237166OtherMIRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, AR3 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

Enrollment IDStateProvider typePAC IDDetails
I20040420000672 OH Practitioner - Emergency Medicine 8820083538 Reassigns benefits to 3 organizations
I20050504001197 MI Practitioner - Emergency Medicine 8820083538 Reassigns benefits to 4 organizations
I20121012000395 AR Practitioner - Emergency MedicinePractitioner - Diagnostic Radiology 8820083538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Aug 12, 2022 Accepting new patients
Portage Physician Practices Inc Emergency Medicine CurrentSince Jun 8, 2017 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince May 23, 2020 Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Jan 23, 2021 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Mar 14, 2025 Accepting new patients
Portage Physician Practices Inc CurrentSince Jun 8, 2017 Accepting new patients
McLaren Medical Group CurrentSince Mar 14, 2025 Accepting new patients
Helena Imaging, PLLC Past Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine Past Accepting new patients

Locations

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

500 Campus Dr
Ste 2
Hancock, MI 49930
Phone (906) 483-1060

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1285690255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 272801",
            "address_2": "PO BOX 67000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-841-6913",
            "fax_number": "517-841-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ELM AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023571",
            "telephone_number": "517-788-6760",
            "fax_number": "517-788-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.007479",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4728554",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00237166",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.