Active NPI
John Roger Amerson, D.O.
- Anesthesiology Physician
- Saint Louis, MO
National Provider Identifier
1043469570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2006015654
- Practice address
- 2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313 - Phone
- (314) 966-9491
- NPI assigned
- Sep 9, 2008
- Last updated
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2006015654 | MO | Primary |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Mailing address
1947 Shepard Rd
Wildwood, MO 63038-1431
Phone (636) 821-1947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006015654 | MO | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1043469570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 SHEPARD RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630381431",
"telephone_number": "636-821-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "JOHN",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2006015654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.