Active NPI
Jefferson Cardiovascular and Thoracic Services
- Cardiovascular Disease Physician
- Festus, MO
National Provider Identifier
1679836381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES
- Practice address
- 1390 US Highway 61
Suite 3301
Festus, MO 63028-4137 - Phone
- (636) 931-6302
- Fax
- (636) 933-5055
- NPI assigned
- Jun 18, 2012
- Last updated
- Jun 18, 2012
- Organization subpart
- Yes
- Parent organization
- JEFFERSON REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Steve Eckenfels
- Title
- Chief Financial Officer
- Phone
- (636) 933-1107
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
1390 US Highway 61
Suite 3301
Festus, MO 63028-4137
Mailing address
1390 US Highway 61
Suite 3301
Festus, MO 63028-4137
Phone (636) 931-6302
National Provider Directory
National Provider Directory- Part of
- Jefferson Med Services
Locations
1390 US Highway 61
Ste 3301
Crystal Cty, MO 63028
Phone (636) 931-6302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1679836381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 US HIGHWAY 61",
"address_2": "SUITE 3301",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284137",
"telephone_number": "636-931-6302",
"fax_number": "636-933-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 US HIGHWAY 61",
"address_2": "SUITE 3301",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284137",
"telephone_number": "636-931-6302",
"fax_number": "636-933-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JEFFERSON REGIONAL MEDICAL CENTER",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "ECKENFELS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "STEVE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "636-933-1107",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
- Amy M James, PLPC
- Cynthia L James
- Traci James
- Bethany Jean Jansen, MOT, OTR/L
- Jason Oberkfell, D.D.S., LLC
- Jefferson County Internal Medicine P.C.
- Jefferson County Physicians
- Jefferson County Pulmonary & Sleep Medicine
- Jefferson County Rehabilitation
- Jefferson Memorial Association (Private Duty Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.