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

John Farley

Individual provider Physician Assistant · NPI 1699631911

John Farley is a Physician Assistant in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025

Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 617-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 North Grand Blvd, Saint Louis, MO 63103 — (800) 758-3678

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20260006975 (MO)

Record details

NPI number1699631911
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address20 N Grand Blvd, Saint Louis, MO 63103-2005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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