MEDICARE: STEVEN E FARRELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	14920	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110122927	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	640507572AR	OTHER	MS	AMERICAN ADMIN GROUP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669482907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN E FARRELL MD

Provider Business Mailing Address
First Line	:	1106 WINDSOR DR
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2846
Country	:	US
Telephone Number	:	601-297-1961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 WINDSOR DR
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2846
Country	:	US
Telephone Number	:	601-261-9078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	12/04/2025

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Directions to “ STEVEN E FARRELL MD” Practice Location

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