Individual provider Active NPI

Jonathan Yoon, M.D.

  • Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1639518673
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2018007938 Issued in MO
Practice address
9701 Landmark Parkway Dr Ste 201
Saint Louis, MO 63127
Phone
(314) 843-3828
Fax
(314) 843-3052
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7006 NE
Otolaryngology Physician 207Y00000X 2018007938 MO Primary

Addresses

Primary practice location

9701 Landmark Parkway Dr Ste 201
Saint Louis, MO 63127

Mailing address

9701 Landmark Parkway Dr
Ste 201
Saint Louis, MO 63127-1665
Phone (314) 729-0077

Other practice location 1

581225 Nebraska Medical Ctr
Omaha, NE 68198-1225
Phone (402) 559-7777

Other practice location 2

621 S New Ballas Rd Ste 622A
Saint Louis, MO 63141-8262
Phone (314) 843-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180808000932 MO Practitioner - Otolaryngology 2668720665 Reassigns benefits to 3 organizations
I20250813003648 NE Practitioner - Otolaryngology 2668720665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
Gwent LLCGroup PAC ID 3971925942, 13 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

9701 Landmark Pkwy Dr
Suite 201
Saint Louis, MO 63127-1665
Phone (314) 843-3828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7006NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Sep 17, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Sep 17, 2019 Accepting new patients
CHI Health Clinic Specialty, LLC Otolaryngology CurrentSince Aug 22, 2025 Accepting new patients
Gwent LLC Otolaryngology CurrentSince Jan 29, 2020 Accepting new patients
Gateway Audiology LLC PastSince Aug 28, 2022 Accepting new patients

Locations

1400 US Highway 61
Ste G40
Crystal Cty, MO 63028
Phone (636) 543-2140

9701 Landmark Parkway Dr
Ste 201
Saint Louis, MO 63127
Phone (314) 645-6247

12855 N 40 Dr
Ste 230
Saint Louis, MO 63141
Phone (314) 576-3532

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 622A
Saint Louis, MO 63141
Phone (314) 251-1830

1987 Highway a
Ste 210
Washington, MO 63090
Phone (636) 390-2007

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1639518673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR",
            "address_2": "STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-729-0077",
            "fax_number": "314-729-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-843-3828",
            "fax_number": "314-843-3052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581225 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681981225",
            "country_code": "US",
            "telephone_number": "402-559-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 622A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418262",
            "country_code": "US",
            "telephone_number": "314-843-3828",
            "fax_number": "314-843-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "7006",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2018007938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.