DR. MICHAEL RYAN DOUGLAS FARRELL (NPI# 1023499415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023499415 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RYAN DOUGLAS FARRELL |
| Credential | M.D. |
| Practice Address |
41 Mall Road Burlington MA 01805 |
| Practice Telephone | 7817448000 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 125067321 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 282257 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699148429 | Michael Farrell | Physician Assistant | 7827 Highway N Ste 104, O Fallon, MO 63368-6704 | 2015-11-02 |
| 1558690081 | Michael Farrell | Acupuncturist | 2828 Avenel St, Los Angeles, CA 90039-2071 | 2009-12-11 |
| 1740229947 | Michael J Farrell | Chiropractor | 270 N Keswick Ave, Glenside, PA 19038-4826 | 2006-06-05 |
| 1326003914 | Michael L Farrell | Surgery | 547 Union Blvd, Totowa, NJ 07512 | 2006-04-18 |
| 1528043502 | Michael F. Farrell | Nurse Anesthetist, Certified Registered | 499 Nys Route 49, Bernhards Bay, NY 13028 | 2005-12-13 |
| 1922095421 | Michael T Farrell | Internal Medicine | 7611 Forest Ave Ste 320, Richmond, VA 23229-4946 | 2005-09-30 |
| 1356959894 | Michael Farrell | Technician | 3430 E Russell Rd Ste 314, Las Vegas, NV 89120-2201 | 2020-07-21 |
| 1942865985 | Michael Thomas Farrell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2019-05-06 |
| 1447719380 | Michael J Farrell | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Medicine, Albany, NY 12208-3412 | 2019-03-19 |
| 1962950733 | Michael Farrell | Chiropractor | 735 Wilson St, Brewer, ME 04412-1000 | 2016-09-21 |
| Street Address |
41 MALL ROAD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1770109258 | Vivek Sinanan | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 01805 | 2020-06-22 |
| 1023671351 | Anne Marcia Woodbury | Nurse Anesthetist, Certified Registered | 41 Mall Road, Burlington, MA 01805 | 2019-04-22 |
| 1902385099 | Bridget Watts | Nurse Practitioner | 41 Mall Road, Burlington, MA 01805 | 2018-08-09 |
| 1710464300 | Lynn Breymer | Registered Nurse | 41 Mall Road, Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2018-07-26 |
| 1154840130 | Melissa Ann Cucchi | Nurse Practitioner | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2017-09-11 |
| 1386168532 | Kimberly Ann Kisil | Social Worker | 41 Mall Road, Burlington, MA 01803 | 2017-07-31 |
| 1942722939 | Ali Al Jabri | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 02155 | 2017-07-11 |
| 1881114197 | Markus Ricci | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 01805 | 2017-06-27 |
| 1902326200 | David Mintz | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Graduate Medical Education, Burlington, MA 01805 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1114293727 | Benjamin King | Urology | 111 Colchester Ave # Ep-5, Burlington, VT 05401-1473 | 2012-03-28 |
| 1760656078 | Jab Inc | Urology | 64 Colchester Avenue, Burlington, VT 05401-1417 | 2008-04-17 |
| 1619174612 | Brian Hilbert Irwin | Urology | 111 Colchester Ave. Acc/ Ep5, Fahc Urology, Burlington, VT 05401 | 2007-07-02 |
| 1902975428 | Michael Richard Wolff | Urology | 841 Heather Rd, Burlington, NC 27215-6288 | 2006-11-07 |
| 1205934247 | John A Bisson | Urology | 64 Colchester Ave, Burlington, VT 05401-1417 | 2006-09-21 |
| 1407831365 | Burlington Urology PC | Urology | 400 S Broadway St, Burlington, IA 52601 | 2005-12-13 |
| 1023011517 | Eric Richmond Sargent | Urology | 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 | 2005-05-27 |
| 1457745903 | Curtis Howard Cleveland | Urology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-23 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on DR. MICHAEL RYAN DOUGLAS FARRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.