Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Farrah Nicole Gaston, DO

Individual provider Pediatrics Physician · NPI 1124605829

Dr. Farrah Nicole Gaston, DO is a Pediatrics Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (334) 412-6504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125077841 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125077841 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (IL)

Record details

NPI number1124605829
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

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