Individual
JOHN T ENGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N NEW BALLAS RD, SAINT LOUIS, MO 63131
(314) 996-5180
(314) 821-2180
Mailing address
55 WESTPORT PLZ, SUITE 300, SAINT LOUIS, MO 63146-3109
(314) 548-4772
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036112438
IL
2085R0202X
Diagnostic Radiology Physician
Primary
R5H85
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006021895
IL BLUE
—
01
—
014013128
MO CARE
—
01
—
020012444
MO CARE
—
01
—
100569
H LINK
—
01
—
1390
MO BLUE
—
01
—
1600224
PH PLAN
—
01
—
16850
BLUE CHOICE
—
01
—
202673208
MC MCAID
—
01
—
2781
GHP
—
01
—
300066984
RR CARE
—
01
—
300066991
RR CARE
—
01
—
398025
HLT PART
—
01
—
431725842MID
MERCY
—
01
—
5777
HCARE USA
—
01
—
E39928
GATE WAY
—
Enumeration date
07/24/2006
Last updated
03/18/2009
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