MEDICARE: DR. PETER KONG-WOO YOON 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	174400000X	Specialist	R3E52	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00663995	OTHER	MO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	261839808	OTHER	MO	CHAMPUS
2	06-01313	OTHER	MO	UNITED HEALTHCARE
3	261839808	OTHER	MO	MERCY HEALTH PLANS
5	119685	OTHER	MO	BLUE CROSS BLUE SHIELD
6	102280	OTHER	MO	HEALTHLINK PPO
7	261839808	OTHER	MO	GREAT WEST HEALTH CARE
8	337533	OTHER	MO	GROUP HEALTH PLAN

General Provider Information

NPI Number	:	1013917715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER KONG-WOO YOON M.D.

Provider Business Mailing Address
First Line	:	621 S NEW BALLAS RD
Second Line	:	SUITE 297A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8232
Country	:	US
Telephone Number	:	314-251-6364
Fax Number	:	314-251-7897

Provider Business Practice Location Address
First Line	:	621 S NEW BALLAS RD
Second Line	:	STE 297A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8232
Country	:	US
Telephone Number	:	314-251-6364
Fax Number	:	314-251-7897

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	06/28/2011

Similar Medicare Providers

1790788941 — DR. ROBERT J BACKER MD
Practice Location Address:

621 S NEW BALLAS RD , STE 297A
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6364
Practice Fax: 314-251-7897

1528065844 — BRYON J WITZEL PA-C
Practice Location Address:

621 S NEW BALLAS RD , SUITE 3005B
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-7070
Practice Fax: 314-251-7071

1194724724 — JOHN S FARRELL M.D.
Practice Location Address:

621 S NEW BALLAS RD , SUITE 584A
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6966
Practice Fax: 314-251-6632

1194718767 — ALBRO C TOBEY JR. MD
Practice Location Address:

621 S NEW BALLAS RD , STE 399
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6644
Practice Fax: 314-251-6891

1609869239 — ROBERT L BECKER MD
Practice Location Address:

621 S NEW BALLAS RD , STE 399
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6644
Practice Fax: 314-251-6891

1366439663 — DR. DAVID J MEINERS M.D.
Practice Location Address:

621 S NEW BALLAS RD , SUITE 7011B
SAINT LOUIS, MO
63141-8232

Practice Phone: 314-251-6840
Practice Fax: 314-251-7249

Directions to “ DR. PETER KONG-WOO YOON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.