Active NPIIndividual provider

Timothy Farrell, MD

Family Medicine in Pawtucket, Rhode Island

NPI Number1306959747
Practice location
407 East Ave, University Medicine Geriatrics Practice, Pawtucket, RI 02860-5299
Fax
401-728-6453
Last updated
October 26, 2021

Timothy Farrell is a Family Medicine based in Pawtucket, RI. Timothy Farrell practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Timothy Farrell is 1306959747 and holds a License No. LP00143 (RI). The current practice location address for Timothy Farrell is 407 East Ave, University Medicine Geriatrics Practice, Pawtucket, RI 02860-5299 and can be reached out via phone at 401-728-7270 and via fax at 401-728-6453.

Provider Profile Details

NPI Number
1306959747
Provider Name
Timothy Farrell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
407 East Ave, University Medicine Geriatrics Practice, Pawtucket, RI 02860-5299
Phone Number
401-728-7270
Fax Number
401-728-6453
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2006
Last Update Date
October 26, 2021
Certification Date
October 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 East Ave
University Medicine Geriatrics Practice
Pawtucket, RI 02860-5299
Zip
02860-5299
Phone Number
401-728-7270
Fax Number
401-728-6453
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
111 Brewster Street
Fcc Team A
Pawtucket, RI 02860
City
Pawtucket
State
RI
Zip
02860
Phone Number
401-729-3469
Fax Number
401-729-2541

License Information

License Number (1)
LP00143
License State (1)
RI
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
7272237-1205
License State (2)
UT
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
MD12351
License State (3)
RI
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Farrell, MD?

The NPI number of Timothy Farrell, MD is 1306959747. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Timothy Farrell, MD?

Timothy Farrell, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP00143.

Where does Timothy Farrell, MD practice?

The practice location is 407 East Ave, University Medicine Geriatrics Practice, Pawtucket, RI 02860-5299. The office can be reached at 401-728-7270 (phone) or 401-728-6453 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306959747 directly on the NPPES registry website.

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