Individual provider Active NPI

Kent G Farish, M.D.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1831176601
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14202 Issued in OK
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

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000532 OK Practitioner - Family Practice 2668562216 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crossover Health Services Inc CurrentSince Sep 1, 2013 Accepting new patients
Crossover Health Services Inc CurrentSince Apr 3, 2014 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

  • Direct secure messaging: kent.farish.1@23846.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.