Active NPI
Kenneth H Farrell M.D. PA
- Otolaryngology Physician
- Fort Lauderdale, FL
National Provider Identifier
1356687487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 19241
- Legal business name
- KENNETH H FARRELL M.D. PA
- Practice address
- 6405 North Federal Highway
Suite 104
Fort Lauderdale, FL 33308-1414 - Phone
- (954) 938-1890
- Fax
- (954) 938-1899
- NPI assigned
- Dec 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth H Farrell, M.D.
- Title
- President
- Phone
- (954) 938-1890
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 19241 | FL | Primary |
Addresses
Primary practice location
6405 North Federal Highway
Suite 104
Fort Lauderdale, FL 33308-1414
Mailing address
6405 North Federal Highway
Suite 104
Fort Lauderdale, FL 33308-1414
Phone (954) 938-1890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6405 N Federal Hwy
Ste 104
Ft Lauderdale, FL 33308
Phone (954) 938-1890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Fort Lauderdale, FL
- NPI 1588664304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475107200000",
"number": "1356687487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 NORTH FEDERAL HIGHWAY",
"address_2": "SUITE 104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081414",
"telephone_number": "954-938-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NORTH FEDERAL HIGHWAY",
"address_2": "SUITE 104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081414",
"telephone_number": "954-938-1890",
"fax_number": "954-938-1899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH H FARRELL M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-18",
"last_updated": "2016-09-29",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-938-1890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": "19241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.