MEDICARE: DR. JASON M MITCHELL 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	108320	MO

General Provider Information

NPI Number	:	1609838135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON M MITCHELL M.D.

Provider Business Mailing Address
First Line	:	1551 WALL ST
Second Line	:	SUITE 310
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3539
Country	:	US
Telephone Number	:	636-669-2268
Fax Number	:	636-669-2401

Provider Business Practice Location Address
First Line	:	1475 KISKER RD
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-8781
Country	:	US
Telephone Number	:	636-498-5810
Fax Number	:	636-669-2401

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1922093632 — MIA OF ST CHARLES COUNTY LLC
Practice Location Address:

1475 KISKER RD , STE 145
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-922-5151
Practice Fax: 636-922-5454

1841251048 — DR. THOMAS A TYREE M.D.
Practice Location Address:

1475 KISKER RD , SUITE 200
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-498-5850
Practice Fax: 636-669-2401

1134180607 — DR. RICHARD F VAUGHN M.D.
Practice Location Address:

1475 KISKER RD
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-498-5850
Practice Fax: 636-669-2401

1952362444 — DR. ALAN W HOLSHOUSER M.D.
Practice Location Address:

1475 KISKER RD , SUITE 200
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-498-5830
Practice Fax: 636-498-5846

1740242288 — DR. THOMAS A LORD M.D.
Practice Location Address:

1475 KISKER RD , SUITE 200
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-498-5810
Practice Fax: 636-498-5826

1770545212 — DR. SUE SATEESHA M.D.
Practice Location Address:

1475 KISKER RD , SUITE 200
SAINT CHARLES, MO
63304-8781

Practice Phone: 636-498-5830
Practice Fax: 636-498-5846

Directions to “ DR. JASON M MITCHELL 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.