NPIMap

Individual provider Active NPI

Chad Farley, DPM

  • Foot Surgery Podiatrist
  • Lakewood, WA
National Provider Identifier
1396820536
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO00000731 Issued in WA
Practice address
11307 Bridgeport Way SW
Ste 220a
Lakewood, WA 98499-3024
Phone
(253) 985-2733
Fax
(253) 985-3868
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO00000731 WA Primary

Addresses

Primary practice location

11307 Bridgeport Way SW
Ste 220a
Lakewood, WA 98499-3024

Mailing address

11307 Bridgeport Way SW
Ste 220a
Lakewood, WA 98499-3024
Phone (253) 985-2733

Other identifiers 6

IdentifierTypeStateIssuer
P00345477OtherWARAILROAD
0219604OtherWAL & I
203641OtherWAL & I
8940615OtherWACRIME VICTIMS
8944020OtherWACRIME VICTIMS
8441636MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917002164 MS Practitioner - Podiatry 0345219580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Health Services IncGroup PAC ID 8224376561, 33 clinicians

Practice addresses (Care Compare)

1107 Earl Frye Blvd
Suite 1
Amory, MS 38821-5519
Phone (662) 257-2357

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-5284

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue63
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
Monroe Health Services, Inc. CurrentSince Sep 3, 2025 Accepting new patients
Monroe Health Services, Inc. Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Sep 3, 2025 Accepting new patients
Monroe Health Services, Inc. CurrentSince Sep 3, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Sep 3, 2025 Accepting new patients
Franciscan Medical Group Current Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
Marion Regional Medical Center, Inc. Past Accepting new patients
Fox Medical Center PastSince Jun 27, 2021 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1107 Earl Frye Blvd
Ste 1
Amory, MS 38821
Phone (662) 257-2357

1107 Earl Frye Blvd
Ste 3
Amory, MS 38821
Phone (662) 256-9590

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

11307 Bridgeport Way SW
Ste 220A
Lakewood, WA 98499
Phone (253) 985-2733

7210 40th St W
Ste 100
University Place, WA 98466
Phone (253) 564-0170

Interoperability endpoints

  • Direct secure messaging: chadfarley@nmhs.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1396820536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW",
            "address_2": "STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-2733",
            "fax_number": "253-985-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW",
            "address_2": "STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-2733",
            "fax_number": "253-985-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "CHAD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00345477",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0219604",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "203641",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8940615",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8944020",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8441636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.