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JEFFERSON PHYSICIAN NETWORK, LLC
NPI 1558508606
Surgery - Vascular Surgery in Festus, MO

Active since January 12, 2009
1400 HIGHWAY 61, SUITE 240, FESTUS, MO 63028(636) 931-4002 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Physician Network, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON PHYSICIAN NETWORK, LLC (NPI 1558508606) is a healthcare organization registered as a vascular surgery in Festus, Missouri and active in the NPI registry since January 2009. The organization lists Daniel S. Eckenfels, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558508606
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJEFFERSON PHYSICIAN NETWORK, LLC
Location Address1400 HIGHWAY 61, SUITE 240Festus, MO 63028-4100
Mailing Address1400 Us Highway 61Festus, MO 63028-4100
Phone(636) 931-4002
Organization SubpartYesParent: Jefferson Memorial Hospital Association
Authorized OfficialDaniel S. EckenfelsCfo · (636) 933-1107
Enumeration DateJanuary 12, 2009
Last NPPES UpdateMarch 12, 2013
✔ NPI 1558508606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MO · 2007029096
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1400 HIGHWAY 61, Festus, MO 63028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HOSPITAL JEFFERSON
Ambulance
1400 HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-5730
DR. FLETCHER THOMAS OTT M.D.
Ophthalmology
1400 HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 937-8855
DR. MARK H. SPURRIER M.D.
Ophthalmology
1400 HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 937-8855
PADMINI CHARLES MD PC
Family Medicine
1400 HIGHWAY 61, JMH MOC G40
FESTUS, MO 63028
Jefferson County (636) 937-8989
MERCY HOSPITAL JEFFERSON
General Acute Care Hospital
1400 HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-1000
JMH DIVISIFIED HEALTHCARE
Ambulance (Land Transport)
1400 HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-5730
J TRAVIS METHVIN, D.O, L.L.C.
Surgery
1400 HIGHWAY 61, SUITE 240
FESTUS, MO 63028
Jefferson County (636) 931-4913
WILLIAM KENNEN JR. DO
Orthopaedic Surgery
1400 HIGHWAY 61, MOC SOUTH, SUITE 210
FESTUS, MO 63028
Jefferson County (636) 933-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Physician Network, LLC's NPI number?

The NPI number for Jefferson Physician Network, LLC is 1558508606. It was assigned to this organization in the NPPES registry on January 12, 2009.

Where is Jefferson Physician Network, LLC located?

Jefferson Physician Network, LLC is located at 1400 Highway 61 Suite 240, Festus, MO 63028. The listed phone number is (636) 931-4002.

What is Jefferson Physician Network, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jefferson Physician Network, LLC was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.