Farris Jackson, MD

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 9, 2005

Quick Facts

NPI Number
1083618904
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy174400000X — Specialty not listed
Phone
(314) 849-1500
StateMO

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1083618904)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 9, 2005)
Data source: CMS NPPES

Provider Overview

FARRIS JACKSON, MD is a Healthcare provider based in St Louis, MO who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083618904
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 9, 2005

Practice Location

CitySt Louis
StateMO
ZIP Code63123-6922
Phone(314) 849-1500

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code174400000X
License StateMO

Mailing Address

CitySt Louis
StateMO
ZIP Code63123-6922
Phone(314) 849-1500
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083618904 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083618904for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083618904 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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98,222
Specialty not listed Providers in the US

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People Also Ask

What is Farris Jackson's NPI number?
Farris Jackson's NPI number is 1083618904, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Farris Jackson's NPI currently active?
Yes, Farris Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Farris Jackson specialize in?
Farris Jackson specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 174400000X.
Where does Farris Jackson practice?
Farris Jackson practices in St Louis, MO 63123-6922.
When was Farris Jackson's NPI issued?
Farris Jackson's NPI was issued on June 9, 2005.
What is Farris Jackson's provider type?
Farris Jackson is registered as an Individual Provider under CMS NPI Type 1.