Individual provider Active NPI

John Craig Farnham, D.O.

  • Diagnostic Radiology Physician
  • Peoria, AZ
National Provider Identifier
1801853890
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1558 Issued in AZ
Practice address
13943 N 91St Ave Ste A102
Peoria, AZ 85381-3688
Phone
(623) 344-5450
NPI assigned
Apr 26, 2006
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1558 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave Ste A102
Peoria, AZ 85381-3688

Mailing address

12618 N 84TH PL
Scottsdale, AZ 85260-5317
Phone (480) 227-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1558AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Skin and Dermatology PC Past Accepting new patients
Arizona Skin & Dermatology, P.C. Past Accepting new patients
Radiology Consultants PLLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1801853890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 N 84TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605317",
            "telephone_number": "480-227-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "623-344-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNHAM",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.