Roger Louis Farney, DO
Individual provider Active NPI Emergency Medicine Physician · Jbsa Lackland Afb, TX
NPI 1902308570 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1902308570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- T4516 (TX)
- Practice address
- 1100 Wilford Hall Loop BLDG. 4554
Jbsa Lackland Afb, TX 78236 - Phone
- (210) 292-0055
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of TX, PLLC
Practice addresses (Care Compare)
13434 Nacogdoches Rd
Methodist ER Nacogdoches
San Antonio, TX 78217-1236
Phone (210) 757-5434
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220311001248 | TX | Practitioner - Emergency Medicine | 9931594876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | T4516 | TX | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop BLDG. 4554
Jbsa Lackland Afb, TX 78236
Mailing address
1100 Wilford Hall Loop, BLDG. 4554
Jbsa Lackland Afb, TX 78236
Phone (210) 228-7083
Other practice location 1
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582
Other providers in Jbsa Lackland Afb, TX
- Michael Azir
- Clayton Cook
- Theodor Danciu
- Billy Cameron Denley
- Kenneth Fan
- Michelle Lora Floyd
- Benjamin Jordan Franklin
- Phyllis Gallegos Santillan
- Blake Austin Harrell
- Jessica Rose White Harvey
All providers in Jbsa Lackland Afb, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.