| Dr Jordan Farley, DO | |
| 633 Emerson Rd Ste 100, Creve Coeur, MO 63141-6739 | |
| (314) 991-4342 | |
| (844) 395-0839 | 
| Full Name | Dr Jordan Farley | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 633 Emerson Rd Ste 100, Creve Coeur, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669979340 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 2023022557 (Missouri) | Secondary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 2023022557 (Missouri) | Primary | 
| Entity Name | Acuity Anesthesiology Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134353030 PECOS PAC ID: 6305992652 Enrollment ID: O20090929000038 | 
| Entity Name | Joint Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235571134 PECOS PAC ID: 2567695893 Enrollment ID: O20140512000996 | 
| Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 | 
| Entity Name | Ssm Health Care Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jordan Farley, DO 633 Emerson Rd Ste 100, Creve Coeur, MO 63141-6739 Ph: (314) 991-4342 | Dr Jordan Farley, DO 633 Emerson Rd Ste 100, Creve Coeur, MO 63141-6739 Ph: (314) 991-4342 | 
| Dr. Alexander George Chamessian, MD PHD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Dept Anesthesiology, Ste L30, Creve Coeur, MO 63141 Phone: 314-996-8631 Fax: 314-996-8742 | |
| Malti Dave, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11605 Studt Ave Ste 120, Creve Coeur, MO 63141 Phone: 314-432-7426 Fax: 314-432-7247 |