Active NPI
Cynthia Dawn Farrar, M.D.
- Adult Medicine Physician
- Saint Joseph, MO
National Provider Identifier
1427097575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 108380
- Practice address
- 3302 S Belt Hwy
Saint Joseph, MO 64503-1534 - Phone
- (800) 952-8387
- Fax
- (913) 946-1699
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 108380 | MO | |
| Adult Medicine Physician | 207QA0505X | 108380 | MO | Primary |
Addresses
Primary practice location
3302 S Belt Hwy
Saint Joseph, MO 64503-1534
Mailing address
3302 S Belt Hwy
Saint Joseph, MO 64503-1534
Phone (800) 952-8387
Other practice location 1
1301 S. Belt Hwy
St Joe Urgent Care
St. Joseph, MO 64507
Phone (816) 279-4100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208482117 | Medicaid | MO | |
| 108380 | Other | MO | STATE MEDICAL LICENSE |
| 20411 | Other | MO | BNDD |
| 080191162 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108380 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1427097575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 S BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645031534",
"telephone_number": "800-952-8387",
"fax_number": "913-946-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 S BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645031534",
"telephone_number": "800-952-8387",
"fax_number": "913-946-1699"
}
],
"practiceLocations": [
{
"address_1": "1301 S. Belt Hwy",
"address_2": "St Joe Urgent Care",
"address_purpose": "LOCATION",
"city": "St. Joseph",
"state": "MO",
"postal_code": "64507",
"country_code": "US",
"telephone_number": "816-279-4100",
"fax_number": "816-279-9991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRAR",
"first_name": "CYNTHIA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2023-03-07",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "108380",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MO",
"license": "108380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208482117",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "108380",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "20411",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080191162",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.