Active NPI
Paul Joseph Farnsworth, D.O.
- Diagnostic Radiology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS15272
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | UO5229 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 69023 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | OS15272 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
PO Box 919379
Orlando, FL 32891-9379
Phone (844) 453-1406
Other practice location 1
1201 5th Ave N Ste 105
St Petersburg, FL 33705-1410
Phone (727) 825-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110610400 | Medicaid | FL | |
| XHRZU | Other | FL | FL BCBS |
| N0975 | Other | FL | FL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Nova Southeastern College of Osteo Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO5229 | FL | MD | Internal Medicine Physician |
| OS15272 | FL | MD | Diagnostic Radiology Physician |
| 69023 | MN | MD | Diagnostic Radiology Physician |
Practice roles
Locations
1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764
620 10th St N
Ste 100
St Petersburg, FL 33705
Phone (727) 502-4200
900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662
1201 5th Ave N
Ste 105
St Petersburg, FL 33705
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1922012244
MN
-
- Specialist
- St Petersburg, FL
- NPI 1639150063
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1407207236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919379",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328919379",
"telephone_number": "844-453-1406",
"fax_number": "772-621-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [
{
"address_1": "1201 5th Ave N Ste 105",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337051410",
"country_code": "US",
"telephone_number": "727-825-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-22",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO5229",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "69023",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS15272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110610400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS",
"identifier": "XHRZU",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "N0975",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.