Basic Information
Provider Information
NPI: 1740743947
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARRINGTON
FirstName: MARJORIE
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 CHILDRENS PL
Address2: MSC 8515-87-1200
City: SAINT LOUIS
State: MO
PostalCode: 631101002
CountryCode: US
TelephoneNumber: 3144546095
FaxNumber: 3147478953
Practice Location
Address1: 1 CHILDRENS PL
Address2: DIV PED HOSPITALIST MED
City: SAINT LOUIS
State: MO
PostalCode: 631101002
CountryCode: US
TelephoneNumber: 3144542076
FaxNumber: 3147478953
Other Information
ProviderEnumerationDate: 04/13/2019
LastUpdateDate: 07/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X2022022796MON Allopathic & Osteopathic PhysiciansPediatrics 
208M00000X2022022796MOY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home