Organization Active NPI

J. Randall Farrar, MD

  • Interventional Cardiology Physician
  • Richland, WA
National Provider Identifier
1982905923
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD00031441 Issued in WA
Legal business name
J. RANDALL FARRAR, MD
Practice address
1155 Jadwin Ave
Richland, WA 99352-3434
Phone
(509) 585-8983
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Jon Randall Farrar, MD
Title
Owner
Phone
(509) 585-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X MD00031441 WA Primary

Addresses

Primary practice location

1155 Jadwin Ave
Richland, WA 99352-3434

Mailing address

1155 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 585-8983

Other identifiers 1

IdentifierTypeStateIssuer
1101799MedicaidWA

National Provider Directory

National Provider Directory

Locations

1155 Jadwin Ave
Richland, WA 99352
Phone (509) 585-8983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1982905923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523434",
            "telephone_number": "509-585-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523434",
            "telephone_number": "509-585-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RANDALL FARRAR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-585-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD00031441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101799",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.