Provider Demographics
NPI:1023088564
Name:FINNIE, JOHN W (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:FINNIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:607 S NEW BALLAS RD
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8222
Mailing Address - Country:US
Mailing Address - Phone:314-251-4986
Mailing Address - Fax:314-251-6375
Practice Address - Street 1:607 S NEW BALLAS RD
Practice Address - Street 2:SUITE 3300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8222
Practice Address - Country:US
Practice Address - Phone:314-251-4986
Practice Address - Fax:314-251-6375
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2014-10-08
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Provider Licenses
StateLicense IDTaxonomies
MO115638207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204589600Medicaid
MO204589600Medicaid
MOMA2596005Medicare PIN
MO966163586Medicare PIN
MO966163587Medicare PIN
MOMA4922002Medicare PIN