Individual
JANELLE ROETHEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3844 S LINDBERGH BLVD STE 120, SAINT LOUIS, MO 63127-1369
(314) 525-0490
(314) 525-0434
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-8509
(314) 996-7080
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100838
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010034
ESSENCE
MO
01
—
0400741
UHC
MO
01
—
101014
BCBS
MO
01
—
127489
GHP
MO
01
—
271716
HEALTHLINK
MO
01
—
4670232
AETNA
MO
01
—
G07379
MERCY
MO
Enumeration date
11/10/2005
Last updated
09/19/2025
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