Active NPI
Kent G Farish, M.D.
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1831176601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14202
- Practice address
- 940 E 36TH St N
Tulsa, OK 74106-1953 - Phone
- (918) 663-6228
- Fax
- (918) 665-0925
- NPI assigned
- Dec 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14202 | OK | Primary |
Addresses
Primary practice location
940 E 36TH St N
Tulsa, OK 74106-1953
Mailing address
2834 E 26TH PL
Tulsa, OK 74114-4310
Phone (918) 406-5139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossover Health Services Inc | Current | Accepting new patients | |
| Crossover Health Services Inc | Current | Accepting new patients | |
| Springer Clinic Inc | Past | Accepting new patients |
Locations
940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460
5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460
Interoperability endpoints
- kent.farish.1@23846.direct.athenahealth.com
- https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1407297963
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1942958111
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1831176601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 E 26TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741144310",
"telephone_number": "918-406-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E 36TH ST N",
"city": "TULSA",
"state": "OK",
"postal_code": "741061953",
"telephone_number": "918-663-6228",
"fax_number": "918-665-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARISH",
"first_name": "KENT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "14202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.