John Alan Vellinga, D.O.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

R5P16 Issued in MO

Practice address

4800 Mexico Rd
Suite 101
Saint Peters, MO 63376-1666

Phone

(636) 936-0400

Fax

(636) 936-2252

NPI assigned

Jun 8, 2006

Last updated

May 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Voyager Group, Inc

  dba Physicians Pain Clinic

  • Pain Medicine Physician
  • Saint Peters, MO
  • NPI 1780621789
  NPD (past) Authorized official
• Northwest Anesthesia LTD

  • Anesthesiology Physician
  • Bridgeton, MO
  • NPI 1114917374
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1679514145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-936-0400",
            "fax_number": "636-936-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-936-0400",
            "fax_number": "636-936-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLINGA",
        "first_name": "JOHN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "R5P16",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "R5P16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anandhalakshmi Varadharajan, MD
• Christopher C Vassel, MAMFT, LMFT
• Vijaya Nattuvetty Vasudevan, M.D.
• Vbusa Alliance
• Susan Ponciroli Velders, M. ED., OTR
• Krisjeana M Vernon, M.S.
• Margaret Mary Verstraete, M.ED, LPC
• Melissa Anne Vesser, BCABA
• Daniela Vetan-Zlibut, PA
• Anna Vielweber

• Pain Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.