OrganizationActive
Jefferson Physician Network, LLC
NPI 1558508606 · Vascular Surgery Physician · Festus, MO
Provider details
- NPI number
- 1558508606
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Jefferson Memorial Hospital Association
- Organization subpart
- Yes
- Authorized official
- Daniel Eckenfels, Cfo(636) 933-1107
- License
- 2007029096 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Highway 61
Suite 240
Festus, MO 63028-4100
Phone: (636) 931-4002
Street-level locationGet directions
Mailing address
1400 US Highway 61
Festus, MO 63028-4100
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2013-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.