Active NPI
Joseph B Farrior III, MD
- Otolaryngology Physician
- Tampa, FL
National Provider Identifier
1629060595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME0033619
- Practice address
- 5 Tampa General Cir
Ste 610
Tampa, FL 33606-3601 - Phone
- (813) 315-4327
- Fax
- (813) 315-4329
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME0033619 | FL | Primary |
Addresses
Primary practice location
5 Tampa General Cir
Ste 610
Tampa, FL 33606-3601
Mailing address
1127 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 571-7184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066174100 | Medicaid | FL |
Other names 1
- Jay B Farrior III
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050121000589 | FL | Practitioner - Otolaryngology | 6608825153 | Practice locations: Tampa, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36619 | FL | MD | Nephrology Physician |
| ME0033619 | FL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1629060595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-571-7184",
"fax_number": "813-654-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR",
"address_2": "STE 610",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063601",
"telephone_number": "813-315-4327",
"fax_number": "813-315-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIOR",
"first_name": "JOSEPH",
"middle_name": "B",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME0033619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066174100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAY",
"last_name": "FARRIOR",
"middle_name": "B",
"suffix": "III",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.