DR. TIMOTHY D. FARLEY (NPI# 1881673788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881673788 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY D. FARLEY |
| Credential | M.D. |
| Practice Address |
1001 S Kirkwood Rd Suite 120 Saint Louis MO 63122-7254 |
| Mailing Address |
83 Pointer Ln Saint Louis MO 63124-2018 |
| Practice Telephone | 3149668887 |
| Practice Fax Number | 3149663869 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2003018076 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PROAMERICA | 9292884 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 180897 | 01 |
| MO | AETNA | 7301407 | 01 |
| MO | GREAT WEST | 237373 | 01 |
| MO | EXCLUSIVE CHOICE | 072286 | 01 |
| MO | MERCY #80 | H75475 | 01 |
| MO | HEALTHLINK | 564710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710317979 | Timothy Michael Farley | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2013-11-25 |
| 1184660441 | Timothy John Farley | Radiology | 100 Lincoln Ave, Radiology Dept, Carbondale, PA 18407-2116 | 2006-06-22 |
| 1679525950 | Timothy John Farley | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-05-16 |
| 1972501310 | Timothy Farley | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-07-11 |
| Street Address |
1001 S KIRKWOOD RD SUITE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570808 | Leonard F Fagan | Internal Medicine | 1001 S Kirkwood Rd, Suite 100, Saint Louis, MO 63122-7254 | 2005-07-01 |
| 1649747437 | Katherine Natalie Benjamin | Occupational Therapy Assistant | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2018-10-30 |
| 1578917464 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2016-04-18 |
| 1740678226 | Brandy Hughes | Nurse Practitioner | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2015-01-06 |
| 1508205543 | Dermond Cortez Henry | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2013-06-24 |
| 1215202510 | Joseph Jason Grassino | Physician Assistant | 1001 S Kirkwood Rd, Suite 120, Saint Louis, MO 63122-7254 | 2012-03-20 |
| 1255615951 | Rachel Ann Cook | Nurse Practitioner | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2011-09-29 |
| 1851553598 | St. Anthony's Physician Organization | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2008-06-25 |
| 1992983662 | Corey Randall Rentfrow | Physician Assistant | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2008-02-05 |
| 1578761706 | Lubbna Johar | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912394958 | Joseph Jared Guth | Orthopaedic Surgery | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2015-04-16 |
| 1710244512 | Diana Choate Patterson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-04-18 |
| 1043535438 | Scott Albert Simpson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2010-03-29 |
| 1821227406 | Ljiljana Bogunovic | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-07-05 |
| 1194950451 | St. Louis Sports Health, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 325, Saint Louis, MO 63131-2050 | 2009-05-15 |
| 1710129630 | Laura Christine Depalma | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-03-25 |
| 1588821334 | Vaibhav V Ardhan Maheshwari | Orthopaedic Surgery | 4921 Parkview Pl, Ste A and B 6th Floor, Saint Louis, MO 63110-1032 | 2008-05-20 |
| 1740470434 | Joy Lynn English | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-28 |
| 1508066317 | Terra Rupert Blatnik | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-19 |
| 1457567430 | Matthew Vernon Smith | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-05-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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| 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.