Farrell Plastic Surgery & Laser Center, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD032080E Issued in PA

Legal business name

FARRELL PLASTIC SURGERY & LASER CENTER, PC

Practice address

2025 Technology Pkwy
Suite 204
Mechanicsburg, PA 17050-9400

Phone

(717) 732-9000

Fax

(717) 732-9011

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leo D Farrell, MD

Title

Owner

Phone

(717) 732-9000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Farrell Plastic Surgery, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Deborah M Farrell, MD

  • Pediatrics Physician
  • Mechanicsburg, PA
  • NPI 1659458453
  Medicare reassignment NPD
• Peter J Sakol, MD

  • Ophthalmology Physician
  • Mechanicsburg, PA
  • NPI 1336226141
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1306050133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRELL PLASTIC SURGERY & LASER CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-732-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD032979E",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD032080E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD GROU",
            "identifier": "740107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "02296800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farrell Plastic Surgery, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Family Eye Care PC
• Family/Internal Medicine Associates, P.C.
• Alexandra Marie Fanucci, PHARMD
• Sabrina Farano
• Timothy R Farner, M.ED, LPC, NCC
• Deborah M Farrell, MD
• Debra A Farrell
• Leo D Farrell, MD
• Fahim Faruque, PHARMD
• McKenzie Faulder

• Plastic and Reconstructive Surgery Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.