Patrick M. Farrell, DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

334 Issued in AZ

Legal business name

PATRICK M. FARRELL, DPM INC

Practice address

11551 S Fortuna Rd Ste a
Yuma, AZ 85367-7858

Phone

(928) 342-1588

Fax

(928) 342-2289

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick M. Farrell, DPM

Title

President

Phone

(928) 342-1588

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1508045485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 S FORTUNA RD STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85367",
            "telephone_number": "928-342-1588",
            "fax_number": "928-342-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 S FORTUNA RD STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677858",
            "telephone_number": "928-342-1588",
            "fax_number": "928-342-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M. FARRELL, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-342-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0194340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AHCCCS",
            "identifier": "701153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peter Paul Patterson, M.D.
• Patti J. Perry, M.D. PC
• Tanner Payne, DPT
• Gregory L. Peare, M.D.
• Pearls Angels

• Podiatrist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.