Individual provider Active NPI

Jordan Farley, DO

  • Pain Medicine (Anesthesiology) Physician
  • Creve Coeur, MO
National Provider Identifier
1669979340
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2023022557 Issued in MO
Practice address
633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone
(314) 991-4342
Fax
(844) 395-0839
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2023022557 MO
Pain Medicine (Anesthesiology) Physician 207LP2900X 2023022557 MO Primary

Addresses

Primary practice location

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739

Mailing address

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone (314) 991-4342

Other practice location 1

992 Wentzville Pkwy
Wentzville, MO 63385-3695
Phone (314) 991-4342

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
I20230725002805 MO Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8820470800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Texas Medical School at San Antonio, 2018
Medicare assignment
May accept Medicare assignment
Group practices
SSM Health Slu Hospital Anesthesia Physician Billing LLCGroup PAC ID 3274842331, 98 clinicians
Joint Health LLCGroup PAC ID 2567695893, 12 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-8000

633 Emerson Rd
Suite 100
Creve Coeur, MO 63141-6739
Phone (314) 991-2013

Hospital & facility affiliations

  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023022557MOMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Oct 1, 2023 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Acuity Anesthesiology LLC Anesthesiology CurrentSince Dec 9, 2024 Accepting new patients
SSM Health Slu Hospital Anesthesia Physician Billing, LLC Anesthesiology CurrentSince Oct 27, 2023 Accepting new patients
Joint Health LLC CurrentSince Aug 9, 2023 Accepting new patients

Locations

865406 Reliable Pkwy
Chicago, IL 60686

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

706 S Bishop Ave
Rolla, MO 65401
Phone (573) 612-1998

633 Emerson Rd
Ste 10
Saint Louis, MO 63141
Phone (314) 991-2150

633 Emerson Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 872-7744

1225 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-3390

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

633 Emerson Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 325-3068

992 Wentzville Pkwy
Wentzville, MO 63385
Phone (314) 991-4342

Interoperability endpoints

  • Direct secure messaging: jfarley492009@direct-ehr-ssmhc.com
  • Direct secure messaging: jfarley@motionortho.emadirect.md

Organizations & group practices 5

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 3

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1669979340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-4342",
            "fax_number": "844-395-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-4342",
            "fax_number": "844-395-0839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Wentzville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853695",
            "country_code": "US",
            "telephone_number": "314-991-4342",
            "fax_number": "844-395-0839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2023022557",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2023022557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.