Individual
JASON B AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 N NEW BALLAS RD, STE 203, SAINT LOUIS, MO 63141-6819
(314) 569-3323
(314) 569-3358
Mailing address
522 N NEW BALLAS RD, STE 203, SAINT LOUIS, MO 63141-6819
(314) 569-3323
(314) 569-3358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015818
RAIL ROAD MEDICARE
MO
01
—
143496
BLUE CROSS BLUE SHIELD
MO
01
—
457893
HEALTHLINK
MO
01
—
7111216
AETNA
MO
Enumeration date
04/21/2006
Last updated
07/30/2019
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