MEDICARE: JOHN S FARRELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	R5636	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194724724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN S FARRELL M.D.

Provider Business Mailing Address
First Line	:	621 S NEW BALLAS RD
Second Line	:	SUITE 584A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8232
Country	:	US
Telephone Number	:	314-251-6966
Fax Number	:	314-251-6632

Provider Business Practice Location Address
First Line	:	621 S NEW BALLAS RD
Second Line	:	SUITE 584A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8232
Country	:	US
Telephone Number	:	314-251-6966
Fax Number	:	314-251-6632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	11/04/2008

Similar Medicare Providers

1790788941 — DR. ROBERT J BACKER MD
Practice Location Address:

621 S NEW BALLAS RD , STE 297A
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6364
Practice Fax: 314-251-7897

1528065844 — BRYON J WITZEL PA-C
Practice Location Address:

621 S NEW BALLAS RD , SUITE 3005B
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-7070
Practice Fax: 314-251-7071

1013917715 — DR. PETER KONG-WOO YOON M.D.
Practice Location Address:

621 S NEW BALLAS RD , STE 297A
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6364
Practice Fax: 314-251-7897

1194718767 — ALBRO C TOBEY JR. MD
Practice Location Address:

621 S NEW BALLAS RD , STE 399
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6644
Practice Fax: 314-251-6891

1609869239 — ROBERT L BECKER MD
Practice Location Address:

621 S NEW BALLAS RD , STE 399
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6644
Practice Fax: 314-251-6891

1366439663 — DR. DAVID J MEINERS M.D.
Practice Location Address:

621 S NEW BALLAS RD , SUITE 7011B
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6840
Practice Fax: 314-251-7249

Directions to “ JOHN S FARRELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.