NPIMap

Organization Active NPI

Robert W Farrell MD PA

  • Specialist
  • Webster, TX
National Provider Identifier
1962752535
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G2697 Issued in TX
Legal business name
ROBERT W FARRELL MD PA
Practice address
450 Blossom St. Suite G
Webster, TX 77598
Phone
(281) 316-0331
Fax
(281) 316-0200
NPI assigned
Sep 11, 2012
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT W FARRELL MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Robert W Farrell, MD
Title
Physician/Owner
Phone
(281) 316-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G2697 TX Primary

Addresses

Primary practice location

450 Blossom St. Suite G
Webster, TX 77598

Mailing address

450 Blossom St. Suite G
Webster, TX 77598
Phone (281) 316-0331

Other identifiers 9

IdentifierTypeStateIssuer
011427316OtherTXTRICARE
10013103OtherTXAMERIGROUP
926228OtherTXAETNA
20014OtherTXHERITAGE
P00049BP8MedicaidTX
S01503OtherTXBLUE LINK
TXB165523OtherTXBLUE CROSS BLUE SHIELD
TXB165523OtherTXHMO BLUE
122242403MedicaidTX

National Provider Directory

National Provider Directory
Part of
Robert W Farrell MD

Locations

450 Blossom St
Ste G
Webster, TX 77598
Phone (281) 316-0331

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1962752535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BLOSSOM ST. SUITE G",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-316-0331",
            "fax_number": "281-316-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BLOSSOM ST. SUITE G",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-316-0331",
            "fax_number": "281-316-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W FARRELL MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT W FARRELL MD PA",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-316-0331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "011427316",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10013103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "926228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HERITAGE",
            "identifier": "20014",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00049BP8",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "S01503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "TXB165523",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "TXB165523",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122242403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.