Jack Farr II, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01029455 Issued in IN

Practice address

1260 Innovation Pkwy
#100
Greenwood, IN 46143-3602

Phone

(317) 884-5200

Fax

(317) 884-5360

NPI assigned

May 17, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1073622015
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1396797346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INNOVATION PKWY",
            "address_2": "#100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433602",
            "telephone_number": "317-884-5200",
            "fax_number": "317-884-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01029455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100325250",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackfarr@oi.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Allscripts e-mail",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "1260 Innovation Pkwy",
            "address_2": "#100",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461433602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert H Falender, MD
• Jaiden Marie Fancher
• Malek Fansa, D.D.S.
• Bradley Farley, LSW
• Tara Farlow
• Carol Patricia Farrington, SLP
• Adrianne R Farris, OTR
• Olufunmilayo Fashola, RBT
• James William Faulkner III, MD
• FDG Mobile

• Orthopaedic Surgery Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.