Daniel Raymond Farrell, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME99257 Issued in FL

Practice address

3801 E Highway 98
Port St Joe, FL 32456-5318

Phone

(806) 853-7111

NPI assigned

Jul 8, 2005

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Wales Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lake Wales, FL
  • NPI 1033480405
  Medicare reassignment NPD
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1750862694
  Medicare reassignment NPD
• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1679324842
  NPD
• Quality Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1093998833
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1386642924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "fax_number": "352-220-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E HIGHWAY 98",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324565318",
            "telephone_number": "806-853-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12014 W Bayshore Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344299261",
            "country_code": "US",
            "telephone_number": "407-620-0211",
            "fax_number": "352-220-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DANIEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME99257",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297861",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce R Denhart, PT
• Down Time Hyperbarics and Emergency Medicine, PLLC
• Edilma Duval, P.T.
• Jerome Garciano Enad, MD
• Eye Center of North Florida, P.a.
• Sheila Renee Fennell
• Melissa Sue Finch
• Christine Tracy Fishero-Fazio, BCBA
• Florida Department of Health (Gulf County Health Department)
• Rachel Ashton Forrest, OTR/L

• Emergency Medicine Physician in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.