Provider Demographics
NPI:1720038052
Name:WELTMER, JOHN BALDWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BALDWIN
Last Name:WELTMER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:314-953-8250
Mailing Address - Fax:314-953-8255
Practice Address - Street 1:11125 DUNN RD
Practice Address - Street 2:STE 301
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6132
Practice Address - Country:US
Practice Address - Phone:314-953-8250
Practice Address - Fax:314-953-8255
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
MOR6J60207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO3092656004OtherCIGNA
MO200020695OtherRAILROAD MEDICARE
MO27785OtherBLUE CROSS BLUE SHIELD
MO42517OtherGROUP HEALTH PLAN
MO0900069OtherUNITED HEALTHCARE
MO4082947OtherAETNA
MO101338OtherHEALTHLINK
MO42517OtherGROUP HEALTH PLAN
MOE07577Medicare UPIN