Jefferson Physician Network, LLC
NPI 1558508606ActiveOrganization· Surgery, Vascular Surgery· Festus, MO
Surgery, Vascular Surgery in Festus, Missouri, registered in NPPES in January 2009, part of Jefferson Memorial Hospital Association. The authorized official on file is Daniel S. Eckenfels, Cfo.
Overview
| NPI | 1558508606 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jefferson Memorial Hospital Association |
| NPI issued | Jan 12, 2009 |
| Last updated in NPPES | Mar 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 2007029096 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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