Active NPI
Scott James Farrell, MD
- Gynecology Physician
- Fremont, OH
National Provider Identifier
1902806730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35047567F
- Practice address
- 528 3Rd Ave
Fremont, OH 43420-3213 - Phone
- (419) 332-8224
- Fax
- (419) 332-9230
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35047567F | OH | Primary |
Addresses
Primary practice location
528 3Rd Ave
Fremont, OH 43420-3213
Mailing address
PO Box 1129
Fremont, OH 43420-8129
Phone (419) 332-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488824 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047567F | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1902806730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1129",
"city": "FREMONT",
"state": "OH",
"postal_code": "434208129",
"telephone_number": "419-332-8224",
"fax_number": "419-332-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 3RD AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203213",
"telephone_number": "419-332-8224",
"fax_number": "419-332-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "SCOTT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35047567F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488824",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
- Eye Centers of Northwest Ohio LLC
- F O R M E Medical & Rehab Center of Fremont, Inc
- Family Medicine Associates of Sandusky Co LLC
- Peter Michael Fantino, L.M.T.
- Alexandra Farmer, CDCA
- Erica Febbo, APRN
- Timothy J Feehan Sr.
- Firelands Regional Medical Center (Firelands Couseling and Recovery Services)
- Lori Fisher, RN
- Mikayla Fisher, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.