Active NPI
John Hexem, MD
- General Practice Physician
- Webster Groves, MO
National Provider Identifier
1629049564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 112767
- Practice address
- 8045 Big Bend Blvd
Suite 201
Webster Groves, MO 63119-2714 - Phone
- (314) 262-6755
- Fax
- (314) 261-5043
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 112767 | MO | |
| General Practice Physician | 208D00000X | 112767 | MO | Primary |
Addresses
Primary practice location
8045 Big Bend Blvd
Suite 201
Webster Groves, MO 63119-2714
Mailing address
8045 Big Bend Blvd
Suite 201
Webster Groves, MO 63119-2714
Phone (314) 262-6755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209788009 | Medicaid | MO |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112767 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher T. Labonte MD LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1952409971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1629049564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 BIG BEND BLVD",
"address_2": "SUITE 201",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192714",
"telephone_number": "314-262-6755",
"fax_number": "314-261-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 BIG BEND BLVD",
"address_2": "SUITE 201",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192714",
"telephone_number": "314-262-6755",
"fax_number": "314-261-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEXEM",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "112767",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "112767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209788009",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.