Active NPI
Ryan D Farley, PA-C
- Surgical Physician Assistant
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 164 Greenview Dr
State College, PA 16803-2106 - Phone
- (814) 237-4321
- Fax
- (814) 235-0484
- NPI assigned
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA058762 | PA | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
164 Greenview Dr
State College, PA 16803-2106
Mailing address
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000
Other practice location 1
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Other practice location 2
1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
Other practice location 3
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
Other practice location 4
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 5
3120 Highland Rd
Hermitage, PA 16148-4512
Phone (724) 342-2663
Other practice location 6
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 237-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170330000957 | PA | Practitioner - Physician Assistant | 8921383175 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Nittany Medical Center Health Services IncKeystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626
141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322
143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470
155 Wellness Way
State College, PA 16803-6702
164 Greenview Dr
State College, PA 16803-2106
Phone (844) 278-4600
1700 Old Gatesburg Rd
State College, PA 16803-2276
526 Westerly Pkwy
Suite 160
State College, PA 16801-5905
Phone (814) 996-1150
Hospital & facility affiliations
- Mount Nittany Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058762 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center | Current | Accepting new patients | |
| Mount Nittany Medical Center | Current | Accepting new patients | |
| Centre Pathology Associates, PC | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| Mount Nittany Medical Center | Past | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
164 Greenview Dr
Ste 200
State College, PA 16803
Phone (814) 237-4321
164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
Interoperability endpoints
- ryanfarley@sopc.allscriptsdirect.net
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
PA
-
- Rehabilitation Clinic/Center
- State College, PA
- NPI 1134793284
-
- Rehabilitation Clinic/Center
- Indiana, PA
- NPI 1912949454
-
- Physical Therapy Clinic/Center
- Punxsutawney, PA
- NPI 1013467349
-
- Physical Therapy Clinic/Center
- Dingmans Ferry, PA
- NPI 1164944245
-
- Physical Therapy Clinic/Center
- Erie, PA
- NPI 1184174435
-
- Physical Therapy Clinic/Center
- Homestead, PA
- NPI 1184174476
-
- Physical Therapy Clinic/Center
- Macungie, PA
- NPI 1205386547
-
- Physical Therapy Clinic/Center
- Franklin, PA
- NPI 1306397799
-
- Physical Therapy Clinic/Center
- Seven Fields, PA
- NPI 1487104816
-
- Physical Therapy Clinic/Center
- Connellsville, PA
- NPI 1497206627
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1699224014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036701",
"telephone_number": "814-231-7000",
"fax_number": "814-238-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 GREENVIEW DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032106",
"telephone_number": "814-237-4321",
"fax_number": "814-235-0484"
}
],
"practiceLocations": [
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Cornwall Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427480",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 N Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014132",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3120 Highland Rd",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "PA",
"postal_code": "161484512",
"country_code": "US",
"telephone_number": "724-342-2663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Park Ave",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168036701",
"country_code": "US",
"telephone_number": "814-237-4321",
"fax_number": "814-235-0484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARLEY",
"first_name": "RYAN",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA058762",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.