Individual provider Active NPI

Douglas Edson Farst, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1538271028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000015970 Issued in TN
Practice address
3461 Austin Peay Hwy
Memphis, TN 38128-3801
Phone
(901) 261-4500
Fax
(901) 261-4511
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000015970 TN Primary

Addresses

Primary practice location

3461 Austin Peay Hwy
Memphis, TN 38128-3801

Mailing address

5720 Glenwild Ave
Memphis, TN 38119-6023
Phone (901) 683-4927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000529 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6901042712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000015970TNMDInternal Medicine Physician
15970TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538271028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 GLENWILD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381196023",
            "telephone_number": "901-683-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283801",
            "telephone_number": "901-261-4500",
            "fax_number": "901-261-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARST",
        "first_name": "DOUGLAS",
        "middle_name": "EDSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000015970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.