Michael Gordon Farnsworth, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29686 Issued in MN

Practice address

410 S 5TH St
Mankato, MN 56001-4588

Phone

(507) 304-4071

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/17479dfb-b021-49d0-9c8a-9247a410a2a3/

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.

• Five Mountains Hawaii, Inc

  • Rural Health Clinic/Center
  • Kamuela, HI
  • NPI 1215359989
  Medicare reassignment NPD
• County of Blue Earth

  • Public Health or Welfare Agency
  • Mankato, MN
  • NPI 1629819388
  NPD

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1932183274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430818",
            "telephone_number": "808-885-5900",
            "fax_number": "808-885-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 5TH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014588",
            "telephone_number": "507-304-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MN",
            "license": "29686",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "29686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133085300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Fandrich
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• Abdirahman Mohamud Farah
• Ladan Farah
• Katelin Michelle Farmer, LICSW, MSW, LGSW
• Whitney Farr
• Michael Fatis, PHD
• Kelly Feddema, PT
• Marc Roland Feldbrugge, ATC, ATR, CKTP
• Linda Marie Felsheim

• Psychiatry Physician in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.