Kirby Farnsworth, D.O.
Emergency Medicine in Wickenburg, AZ. Individual provider (NPI-1).
NPI number1124464839
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1124464839
- Entity type
- Individual (NPI-1)
- Name
- Kirby Farnsworth
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2013
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | Q1981 | TX | Yes |
| 207Q00000X | Family Medicine | 006965 | AZ | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
520 Rose LnWickenburg, AZ 85390-1447
Phone 928-668-1803 · Fax 928-684-2434
Mailing address
20470 N Lake Pleasant Rd Ste 109Peoria, AZ 85382-9708
Phone 623-404-2244 · Fax 623-404-2245
Other practice locations
20470 N Lake Pleasant Rd Ste 109
Peoria, AZ 85382-9708
Peoria, AZ 85382-9708
Phone 623-404-2244 · Fax 623-404-2245
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emergency Medicine Physician providers in Wickenburg, AZ
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.