Walter Joe Farley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3G13 Issued in MO

Practice address

1423 N Jefferson Ave
Springfield, MO 65802-1917

Phone

(417) 269-6583

Fax

(417) 269-6573

NPI assigned

Oct 4, 2005

Last updated

Aug 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1306833447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E REPUBLIC RD",
            "address_2": "BOX 205",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047210",
            "telephone_number": "417-269-6583",
            "fax_number": "417-269-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-6583",
            "fax_number": "417-269-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "WALTER",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3G13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202378725",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie E Farabee, CPNP
• Barry S Farber, M.D.
• Jeffrey Farinha, PT
• Tasnuva Tarannum Fariza, MD
• Alicia L Farley, PA
• Andrew Charles Farmer, LPC
• Sarah Farmer
• Shelly Jean Farnan, PSYD., LP
• Margaret Farquhar, RN
• Elizabeth Ann Farrah, LCSW

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.