DR. JASON REID WELLEN (NPI# 1134331382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134331382 |
Entity Type | Individual |
Full Name | DR. JASON REID WELLEN |
Credential | MD |
Practice Address |
1 Barnes Jewish Hospital Plz Saint Louis MO 63110-1003 |
Mailing Address |
660 S Euclid Ave Cb 8109 Saint Louis MO 63110-1010 |
Practice Telephone | 3143627792 |
Practice Fax Number | 3143614197 |
Mailing Telephone | 3143627792 |
Mailing Fax Number | 3143614197 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2019-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 2007008872 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 207356809 | 05 | |
IL | ENROLLED | 05 |
Street Address |
1 BARNES JEWISH HOSPITAL PLZ |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801898010 | Jessica R Doiron | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2005-06-01 |
1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
1437759545 | Michelle Nicole Rutter | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-28 |
1861092108 | John Michael Luker | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-27 |
1396344289 | Jordana Culanculan | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
1871192799 | Harold Anthony Tatum Jr. | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
1245839323 | Michelle Juengling | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-20 |
1962018382 | Adeel Haq | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-21 |
1568077568 | Joseph Daniel Balassi | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-15 |
1053924464 | Melissa Lee Prewitt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851734784 | Seung-hee Suzie Lee | Transplant Surgery | 4921 Parkview Pl, Ste 8c, Saint Louis, MO 63110-1032 | 2013-04-10 |
1043576101 | Teresa Catherine Rice | Transplant Surgery | 4921 Parkview Pl, Ste 8c, Saint Louis, MO 63110-1032 | 2012-04-03 |
1952558926 | Mustafa D.m Nazzal | Transplant Surgery | 3635 Vista Ave, Fdt 11th Floor, Saint Louis, MO 63110-2539 | 2008-08-21 |
1013182120 | Dominic Emmanuel Sanford | Transplant Surgery | 11155 Dunn Rd, Ste 108n, Saint Louis, MO 63136-6150 | 2008-04-29 |
1841419470 | St Louis University | Transplant Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
1700903820 | Maria Bernadette Doyle | Transplant Surgery | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-03-23 |
1407950017 | Paul James Garvin | Transplant Surgery | 10004 Kennerly Rd, Ste 330a, Saint Louis, MO 63128-2175 | 2006-09-12 |
1184727372 | Harvey Solomon | Transplant Surgery | 3635 Vista, Saint Louis, MO 63110 | 2006-09-06 |
1972521490 | Surendra Shenoy | Transplant Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2006-07-17 |
1790703270 | William C Chapman | Transplant Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2006-07-17 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63110 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.