Active NPI
Colleen C Farrell, MD
- Pediatrics Physician
- Souderton, PA
National Provider Identifier
1457352767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD 422876
- Practice address
- 3456 Bethlehem Pike
2ND Floor
Souderton, PA 18964-1051 - Phone
- (215) 723-7177
- NPI assigned
- Aug 9, 2005
- Last updated
- Mar 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 422876 | PA | Primary |
Addresses
Primary practice location
3456 Bethlehem Pike
2ND Floor
Souderton, PA 18964-1051
Mailing address
3456 Bethlehem Pike
2ND Floor
Souderton, PA 18964-1051
Phone (215) 723-7177
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 |
|---|---|---|---|
| MD 422876 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1457352767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 BETHLEHEM PIKE",
"address_2": "2ND FLOOR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641051",
"telephone_number": "215-723-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 BETHLEHEM PIKE",
"address_2": "2ND FLOOR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641051",
"telephone_number": "215-723-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "COLLEEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD 422876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.