MEDICARE: STEPHEN NESTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R3G70	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101561	OTHER	MO	HEALTHLINK
2	000000010047	OTHER	MO	ESSENCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2177998	OTHER	MO	AETNA US
5	A28411	OTHER	MO	MERCY
6	0100039	OTHER	MO	UHC
7	111791	OTHER	MO	BCBS
8	40340	OTHER	MO	GHP
9	4071506	OTHER	MO	AETNA

General Provider Information

NPI Number	:	1871574582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN NESTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 23340
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63156-3340
Country	:	US
Telephone Number	:	314-647-9444
Fax Number	:	314-647-7317

Provider Business Practice Location Address
First Line	:	1031 BELLEVUE AVE
Second Line	:	SUITE 300
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1818
Country	:	US
Telephone Number	:	314-647-9444
Fax Number	:	314-647-7317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	10/03/2012

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Directions to “ STEPHEN NESTER M.D.” Practice Location

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