Individual
DR. JOHN ALAN VELLINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4800 MEXICO RD, SUITE 101, SAINT PETERS, MO 63376-1666
(636) 936-0400
(636) 936-2252
Mailing address
4800 MEXICO RD, SUITE 101, SAINT PETERS, MO 63376-1666
(636) 936-0400
(636) 936-2252
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
R5P16
MO
208VP0000X
Pain Medicine Physician
Primary
R5P16
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050055140
MEDICARE RAILROAD
MO
01
—
072246
FMH/EXCLUSIVE CHOICE
MO
01
—
197791
BCBS
MO
01
—
2000224
PHP
MO
05
—
246938112
—
MO
01
—
249776
HEALTHLINK
MO
01
—
35554
GHP
MO
01
—
431711815
NALC
MO
01
—
491711815
1ST HEALTH
MO
01
—
5339096
AETNA
MO
01
—
63868010001
CIGNA
MO
01
—
A003431711815
TRICARE
MO
01
—
F04439
MERCY
MO
Enumeration date
06/08/2006
Last updated
05/09/2012
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