MEDICARE: DR. JAMES SCOTT FARRELL D.O.

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	208800000X	Urology Physician	0102202800	VA
2	208800000X	Urology Physician	84401	GA
3	208800000X	Urology Physician	OS18465	FL

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

General Provider Information

NPI Number	:	1962713677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES SCOTT FARRELL D.O.

Provider Business Mailing Address
First Line	:	1607 SAINT JAMES CT STE 1
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5352
Country	:	US
Telephone Number	:	850-431-7021
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 CENTENNIAL BLVD STE 102
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-0590
Country	:	US
Telephone Number	:	850-431-2875
Fax Number	:

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

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	08/11/2022

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