Kenneth Barton Farris, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

013129 Issued in LA

Practice address

1101 Medical Center Blvd
Marrero, LA 70072-3147

Phone

(504) 347-5511

NPI assigned

Jul 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 2

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

Locations

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.

• Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Marrero, LA
  • NPI 1619900990
  NPD Authorized official
• Consultant Pathology Service, Inc.

  • Dermatopathology (Pathology) Physician
  • Gretna, LA
  • NPI 1760587752
  NPD (past) Authorized official
• JRS Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Gretna, LA
  • NPI 1144325127
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1437176930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54491",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544491",
            "telephone_number": "504-349-1415",
            "fax_number": "504-349-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-347-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "KENNETH",
        "middle_name": "BARTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "013129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156957",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131300",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Joseph Fabre Jr., D.D.S.
• Erin Fairchild
• Andrea Lynn Falgout-Cheramie
• Lindsay York Fantaci, MD
• Dua Farhoud, DDS
• Adil Aryaman Fatakia, M.D.
• Susan Felix
• Alicia Aguiar Fernandez, PHARMD
• Malinda Ferrell, NNP
• Marie Yolene Fervil, MD

• Anatomic Pathology & Clinical Pathology Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.