Individual provider Active NPI

John Mitchell Farmer, MD

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1285703454
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19060 Issued in KY
Practice address
512 Executive Park
Louisville, KY 40207-4205
Phone
(502) 894-0266
Fax
(502) 894-0737
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X XF7678521 KY
Obstetrics & Gynecology Physician 207V00000X 19060 KY Primary

Addresses

Primary practice location

512 Executive Park
Louisville, KY 40207-4205

Mailing address

512 Executive Park
Louisville, KY 40207-4205
Phone (502) 894-0266

Other identifiers 1

IdentifierTypeStateIssuer
64190606MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000051 KY Practitioner - Obstetrics/Gynecology 8325944416 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19060KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solid Ground Counseling and Recovery Centers LLC CurrentSince May 3, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Can-Teens Foundation Past Accepting new patients
Commonwealth Community Care Centers, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1115 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 769-5963

204 S Carol Malone Blvd
Grayson, KY 41143
Phone (304) 525-7111

14 Logan Dr
Jeff, KY 41751
Phone (606) 373-4887

354 Christy Crk
Morehead, KY 40351
Phone (606) 487-0351

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 6

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1285703454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074205",
            "telephone_number": "502-894-0266",
            "fax_number": "502-894-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074205",
            "telephone_number": "502-894-0266",
            "fax_number": "502-894-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "KY",
            "license": "XF7678521",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "19060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64190606",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.