JAREER OTHMAN FARAH (NPI# 1073784583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073784583 |
Entity Type | Individual |
Full Name | JAREER OTHMAN FARAH |
Credential | MD |
Practice Address |
1225 Graham Rd Ste 2310c Florissant MO 63031-8012 |
Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
Practice Telephone | 3149536300 |
Practice Fax Number | 3149536309 |
Mailing Telephone | 3149536300 |
Mailing Fax Number | 3149536309 |
Enumeration Date | 2008-03-13 |
Last Update Date | 2017-03-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036-142073 | IL | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2016038585 | MO | Allopathic & Osteopathic Physicians |
Street Address |
1225 GRAHAM RD STE 2310C |
City | FLORISSANT |
State | MO |
Zip Code | 63031-8012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265431399 | Antonio R Penilla | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
1912549452 | Erica Frazier | Social Worker | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-16 |
1275174088 | Pamela Wooten | Registered Nurse | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-02 |
1700357647 | John A Powers | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2018-12-17 |
1922454719 | Jenna O'shea | Nurse Practitioner | 1225 Graham Rd, Ste 1340c, Florissant, MO 63031-8012 | 2016-05-11 |
1093135980 | Daniel Zwilling | Physician Assistant | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-04-18 |
1356769012 | Lindsay Riedl Jaeger | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-31 |
1942627823 | Kathryn A Spectorsky | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-27 |
1124459730 | Javda Miasha Wilson | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-12-06 |
1013358100 | Laura M Gramolino | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
Find all providers in zip 63031 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275032286 | Cardiac Cin of Kansas City LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2018-02-05 |
1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
1629366984 | Jorge Marcelo Ramirez Romero | Internal Medicine | 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104 | 2011-07-20 |
1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
1285945295 | Byungsoo Ko | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2010-06-24 |
1033370358 | Shamail S. Tariq | Internal Medicine | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-06-19 |
1104083351 | Cardiovascular Institute of Jacksonville P A | Internal Medicine | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 | 2008-05-16 |
1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
1225134117 | William R Reilly Inc | Internal Medicine | 450 N. New Ballas Rd, Ste 170w, St. Louis, MO 63141-6835 | 2006-09-16 |
1881799336 | Morton R. Rinder | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2006-09-13 |
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City | FLORISSANT |
Zip Code | 63031 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.