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

Michael Edwin Farrell, CSA

Individual provider Surgical Physician Assistant · NPI 1699148429

Michael Edwin Farrell, CSA is a Surgical Physician Assistant in O Fallon, Missouri. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2425 Sansonnet Ln
O Fallon, MO 63368-3597
Phone: (501) 658-6186
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1699148429
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address2425 Sansonnet Ln, O Fallon, MO 63368-3597

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