Jason Michael Mehrtens, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

2010009950 Issued in MO

Practice address

1203 Smizer Mill Rd Ste 105
Fenton, MO 63026-3483

Phone

(636) 717-1350

Fax

(636) 717-1355

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1194772129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD STE 105",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "636-717-1350",
            "fax_number": "636-717-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD STE 105",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "636-717-1350",
            "fax_number": "636-717-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRTENS",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2010009950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney McGhee
• McPherson Medical & Diagnostic LLC
• Medcare Physician LLC
• Medexpress Urgent Care Missouri P.C.
• Rebecca Theresa Medlock, AGACNP-BC
• Gary E. Meier, P.T.
• John Mellas, MD
• Ashley Menard, MA, LPC
• Stephen Menzel, O.D.
• Meramec Valley OBGYN Inc

• Adult Medicine Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.