Individual provider Active NPI

Jeffrey C Faron, MD

  • Internal Medicine Physician
  • Florissant, MO
National Provider Identifier
1316911829
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36824 Issued in MO
Practice address
91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone
(314) 831-8600
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36824 MO Primary

Addresses

Primary practice location

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934

Mailing address

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone (314) 831-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000389 MO Practitioner - Internal Medicine 3779680699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Ballwin, MO 63011-2492

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

637 Dunn Rd
Hazelwood, MO 63042-1755
Phone (314) 921-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36824MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

15945 Clayton Rd
Ste 340
Ballwin, MO 63011
Phone (636) 256-5130

91 Florissant Oaks Shop Ctr
Florissant, MO 63031
Phone (314) 831-8600

637 Dunn Rd
Ste 102A
Hazelwood, MO 63042
Phone (314) 831-8600

119 Baxter Shops St
Manchester, MO 63011
Phone (636) 391-5652

12120 Conway Rd
Saint Louis, MO 63141
Phone (314) 251-6600

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: jfaron1247@directc.mercy.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1316911829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARON",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "36824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.