Michael F. Farrell, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bernhards Bay, NY
NPI 1528043502 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1528043502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 464345-1 (NY)
- Practice address
- 499 Nys Route 49
Bernhards Bay, NY 13028 - Phone
- (315) 391-0200
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maple Gate Anesthesiologists, P.C.
Practice addresses (Care Compare)
818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 632-1088
Hospital & facility affiliations
- Kaleida Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070103000294 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7113817917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3373282 | FL | MD | Certified Registered Nurse Anesthetist |
| 246302 | MA | MD | Certified Registered Nurse Anesthetist |
| 163598 | NC | MD | Certified Registered Nurse Anesthetist |
| 464345-1 | NY | MD | Certified Registered Nurse Anesthetist |
| 692023 | TX | MD | Certified Registered Nurse Anesthetist |
| 134530 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Gate Anesthesiologists, P.C. | Current |
Accepting new patients | |
| Richard W. Tschoeke, M.D., S.C. | Past | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Past | Accepting new patients | |
| Frank J Adipietro Jr MD PC | Past | Accepting new patients | |
| Upstate Medical Anesthesiology Group, Inc. | Past | Accepting new patients | |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Locations
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
2568 Walden Ave
Ste 103
Cheektowaga, NY 14225
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
215 Klein Rd
Williamsville, NY 14221
Phone (716) 568-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 134530 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 246302 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3373282 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 692023 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | RN352893L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2515 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 163598 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 464345-1 | NY | Yes |
Addresses
Primary practice location
499 Nys Route 49
Bernhards Bay, NY 13028
Mailing address
499 Nys Route 49
PO Box 174
Bernhards Bay, NY 13028
Phone (315) 391-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048836 | Other | CRNA RECERTIFICATION CARD |
Other providers in Bernhards Bay, NY
- Kathryn K Hayes
- Michael Troy Richmond
- Cristin Etherington Roach
- Deborah Marie Russo
- Lori Ann Schneider
All providers in Bernhards Bay, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.