Individual provider Active NPI

Paul E Farris, MD

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1912901992
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C7627 Issued in AR
Practice address
1706 E Joyce Blvd Ste 1
Fayetteville, AR 72703-6297
Phone
(479) 439-6110
Fax
(479) 439-6110
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C7627 AR Primary

Addresses

Primary practice location

1706 E Joyce Blvd Ste 1
Fayetteville, AR 72703-6297

Mailing address

1706 E Joyce Blvd Ste 1
Fayetteville, AR 72703-6297
Phone (479) 439-6110

Other identifiers 1

IdentifierTypeStateIssuer
126334001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040224000618 AR Practitioner - Otolaryngology 1254227515 Reassigns benefits to 2 organizations
Practice locations: Fayetteville, AR

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Regional Medical SystemGroup PAC ID 8820995434, shared by 13 NPIs, 238 clinicians

Practice addresses (Care Compare)

3 E Appleby Rd
Suite 401
Fayetteville, AR 72703-3163
Phone (479) 404-2500

3215 N Northhills Blvd
Washington Regional Hospital Medicine Group
Fayetteville, AR 72703-4424
Phone (479) 463-7102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7627ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Jul 28, 2025 Accepting new patients
Hello Wellness PLC CurrentSince Feb 23, 2012 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System CurrentSince Jul 28, 2025 Accepting new patients
Washington Regional Medical System CurrentSince Jul 28, 2025 Accepting new patients
Fayetteville-Springdale Ear, Nose & Throat Clinic Specialist Past Accepting new patients
Arkansas Center for Ear Nose Throat & Allergy PA PastSince Aug 1, 1999 Accepting new patients
Passmore Plastic Surgery LLC PastSince Aug 14, 2020 Accepting new patients

Locations

3 E Appleby Rd
Ste 401
Fayetteville, AR 72703
Phone (479) 404-2500

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

1706 E Joyce Blvd
Ste 1
Fayetteville, AR 72703
Phone (479) 249-6362

Interoperability endpoints

  • Direct secure messaging: pfarris23136@washingtonregional.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1912901992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036297",
            "telephone_number": "479-439-6110",
            "fax_number": "479-251-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036297",
            "telephone_number": "479-439-6110",
            "fax_number": "479-439-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C7627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126334001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.