| Jason Gutting, MD | |
|
100 Medical Plz, Lake Saint Louis, MO 63367-1366 | |
| (636) 625-5200 | |
| Not Available |
| Full Name | Jason Gutting |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 100 Medical Plz, Lake Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205851755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 114932 (Missouri) | Primary |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427098169 PECOS PAC ID: 1658276811 Enrollment ID: O20031209000789 |
| Entity Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Gutting, MD 100 Medical Plz, Lake Saint Louis, MO 63367-1366 Ph: () - | Jason Gutting, MD 100 Medical Plz, Lake Saint Louis, MO 63367-1366 Ph: (636) 625-5200 |
Kendrick J Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5300 | |
Connor Scott Corcoran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 314-628-4095 | |
Dr. Richard A Felkel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 | |
Dr. Kris Ann Roberts, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 |