Provider Demographics
NPI:1083631519
Name:HAND, JASON A (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:HAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 23340
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-3340
Mailing Address - Country:US
Mailing Address - Phone:314-851-1000
Mailing Address - Fax:314-851-4445
Practice Address - Street 1:13303 TESSON FERRY RD STE 53
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-4062
Practice Address - Country:US
Practice Address - Phone:314-722-2855
Practice Address - Fax:314-275-4627
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006009494207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1083631519Medicaid
MOP00635278OtherRAILROAD MEDICARE
MO958915280Medicare PIN
MOI58782Medicare UPIN