| 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 |
| Experience | 7 Years |
| Location | 633 Emerson Rd Ste 100, Creve Coeur, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669979340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2023022557 (Missouri) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 2023022557 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| 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 |
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 |