Patrick Edward Farrell, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

M6441 Issued in ID

Practice address

301 W Myrtle St
Boise, ID 83702-7656

Phone

(208) 955-8215

Fax

(208) 445-5899

NPI assigned

May 4, 2006

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr Farrell, LLC Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Farrell, LLC

  • Interventional Pain Medicine Physician
  • Boise, ID
  • NPI 1194924514
  Authorized official Same address or phone

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1740238849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 E PARKCENTER BLVD",
            "address_2": "# 273",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066721",
            "telephone_number": "208-955-8215",
            "fax_number": "208-445-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027656",
            "telephone_number": "208-955-8215",
            "fax_number": "208-445-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027656",
            "country_code": "US",
            "telephone_number": "208-342-8200",
            "fax_number": "208-342-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ID",
            "license": "M6441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003692900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010158339",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "76755",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DR",
            "last_name": "FARRELL, LLC",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tom Farner, LCPC
• Joseph Farnes
• Sarah Nicole Farnetti
• Peyton M Farrall, PA-C
• Cori C. Farrar, PHARMD
• George Dennis Farrow, LCPC MCOUN
• Leanne Christine Fasciano, RDN
• Emily Rose Fassi, LGC
• Elizabeth Irene Fassig, PSY.D.
• Nathan Fauntleroy, LMSW

• Interventional Pain Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Interventional Pain Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.