Active NPI
Ryan Shurtliff Farrer, DO
- Diagnostic Radiology Physician
- Aberdeen, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO-05903
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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 CenterCommunity Hospital Association
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
- Grays Harbor Community Hospital
- Northeast Regional Medical Center
- Ogallala Community Hospital
- Shenandoah Medical Center
- Methodist Jennie Edmundson
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.03 of 100
- Quality
- 96.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328 | NE | MD | Mental Health Counselor |
| 4293 | OK | MD | Chiropractor |
| OP00001975 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Diagnostic Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Rosebud Indian Health Service | Current | 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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
SD
-
dba Grays Harbor Radiology
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1144676487
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Contractor
- Arlington, TX
- NPI 1467518183
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
-
- Critical Access Hospital
- Ogallala, NE
- NPI 1710915467
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.