Individual provider Active NPI

Ryan Shurtliff Farrer, DO

  • Diagnostic Radiology Physician
  • Aberdeen, WA
National Provider Identifier
1861429953
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO-05903 Issued in IA
Practice address
1108 Basich Blvd
Aberdeen
Aberdeen, WA 98520-1066
Phone
(360) 533-0400
Fax
(360) 533-5633
NPI assigned
Jun 26, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO-05903 IA Primary
Diagnostic Radiology Physician 2085R0202X OP00001975 WA

Addresses

Primary practice location

1108 Basich Blvd
Aberdeen
Aberdeen, WA 98520-1066

Mailing address

14301 FNB Pkwy
Ste 100
Omaha, NE 68154-7200
Phone (402) 493-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, WA, SD, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040720001243 NE Practitioner - Diagnostic Radiology 5991785131 Reassigns benefits to 1 organization
I20041227000230 IA Practitioner - Diagnostic Radiology 5991785131 Reassigns benefits to 1 organization
I20050511000667 WA Practitioner - Diagnostic Radiology 5991785131 Reassigns benefits to 1 organization
I20221118002007 SD Practitioner - Diagnostic Radiology 5991785131 Reassigns benefits to 2 organizations
I20260213003845 TX Practitioner - Diagnostic Radiology 5991785131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Community Hospital AssociationGroup PAC ID 1557316783, shared by 7 NPIs, 8 clinicians
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240

13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-0404

19303 Walnut St
Omaha, NE 68130-3763
Phone (402) 493-1212

2601 N Spruce St
Ogallala, NE 69153-2465
Phone (402) 493-1212

309 E Main St
Fairfax, MO 64446-9312
Phone (660) 686-0263

345 W Steamboat Dr
Suite 300
Dakota Dunes, SD 57049-5287
Phone (605) 217-2195

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-5999

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as group
Quality
96.51
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328NEMDMental Health Counselor
4293OKMDChiropractor
OP00001975WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince Apr 15, 2016 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 5, 2026 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Dec 23, 2025 Accepting new patients
Grays Harbor Community Hospital CurrentSince Apr 15, 2016 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Oct 4, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 5, 2026 Accepting new patients
Rhino Medical Services Past Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8600

201 Ridge St
Ste 312
Council Bluffs, IA 51503
Phone (402) 815-1970

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-3125

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

255 N Welch Ave
Primghar, IA 51245
Phone (712) 957-2300

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

2600 Outer Dr N
Sioux City, IA 51104
Phone (712) 239-3300

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 383-2335

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

345 W Steamboat Dr
Ste 401
Dakota Dunes, SD 57049
Phone (605) 217-2195

345 W Steamboat Dr
Ste 300
North Sioux City, SD 57049
Phone (605) 217-2175

1108 Basich Blvd
Aberdeen, WA 98520
Phone (360) 533-0400

1921 Sumner Ave
Aberdeen, WA 98520
Phone (360) 533-6447

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1861429953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-493-1212",
            "fax_number": "888-972-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "address_2": "ABERDEEN",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRER",
        "first_name": "RYAN",
        "middle_name": "SHURTLIFF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-05903",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP00001975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.