Jefferson County Pulmonary & Sleep Medicine

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

R9F09 Issued in MO

Legal business name

JEFFERSON COUNTY PULMONARY & SLEEP MEDICINE

Practice address

1390 US Highway 61 Ste 2300
Festus, MO 63028-4121

Phone

(636) 937-3121

Fax

(636) 937-4423

NPI assigned

Feb 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Farris Jackson Jr., MD

Title

Physician

Phone

(636) 937-3121

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda E Avellone, MD

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1154325082
  NPD (past)
• Warren M Breite, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Festus, MO
  • NPI 1457355372

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1093853350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CRAIG FOREST LN",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225567",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284121",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY PULMONARY & SLEEP MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FARRIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-937-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R9F09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Jean Jansen, MOT, OTR/L
• Jason Oberkfell, D.D.S., LLC
• Jefferson Cardiovascular and Thoracic Services
• Jefferson County Internal Medicine P.C.
• Jefferson County Physicians
• Jefferson County Rehabilitation
• Jefferson Memorial Association
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital Association

• Pulmonary Disease Physician in Festus, MO
• Providers in Festus, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.