MEDICARE: DR. JOHN A. POWELL 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	173000000X	Legal Medicine	R6721	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3019555	OTHER	MO	CIGNA HEALTHCARE
2	0300007	OTHER	MO	UNITED HEALTHCARE
3	35408	OTHER	MO	GROUP HEALTH PLAN
4	173476	OTHER	MO	BLUECROSSBLUE SHIELD
5	4000858	OTHER	MO	AETNA US HEALTHCARE

General Provider Information

NPI Number	:	1225072242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A. POWELL M.D.

Provider Business Mailing Address
First Line	:	1034 S BRENTWOOD BLVD
Second Line	:	STE.1160
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1223
Country	:	US
Telephone Number	:	314-863-7080
Fax Number	:	314-863-1540

Provider Business Practice Location Address
First Line	:	1034 S BRENTWOOD BLVD
Second Line	:	STE.1160
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1223
Country	:	US
Telephone Number	:	314-863-7080
Fax Number	:	314-863-1540

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1871716027 — RAYMOND L LEUNG M.D,
Practice Location Address:

1034 S BRENTWOOD BLVD , SUITE 660
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-727-8099
Practice Fax: 314-727-6796

1528370566 — ERIN CHISHOLM PT
Practice Location Address:

1034 S BRENTWOOD BLVD , SUITE 300
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-647-0495
Practice Fax: 314-647-1350

1538467782 — JULIE ANNA RUPLINGER
Practice Location Address:

1034 S BRENTWOOD BLVD , STE. 300
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-644-1978
Practice Fax:

1780973586 — MRS. CYNTHIA M KEMPF MA, OTR/L
Practice Location Address:

1034 S BRENTWOOD BLVD , SUITE 300
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-644-1978
Practice Fax:

1285903898 — JULIA JANICE KYRAMARIOS
Practice Location Address:

1034 S BRENTWOOD BLVD , SUITE 300
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-644-1978
Practice Fax:

1558623116 — ASHLEY HAYES
Practice Location Address:

1034 S BRENTWOOD BLVD , SUITE 300
RICHMOND HEIGHTS, MO
63117-1223

Practice Phone: 314-644-1978
Practice Fax:

Directions to “ DR. JOHN A. POWELL 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.