Healthcare Provider Details

I. General information

NPI: 1982068359
Provider Name (Legal Business Name): JASON CHRISTIAN ZWEIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11133 DUNN RD STE 2335
SAINT LOUIS MO
63136-6165
US

IV. Provider business mailing address

2411 HOLMES ST
KANSAS CITY MO
64108-2741
US

V. Phone/Fax

Practice location:
  • Phone: 314-653-5007
  • Fax: 314-653-4149
Mailing address:
  • Phone: 816-235-1808
  • Fax: 816-235-5277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2020019609
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2020019609
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2020019609
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number2020019609
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: