MEDICARE: DR. JOHN THOMAS ANSTEY 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	207V00000X	Obstetrics & Gynecology Physician	R5841	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	07-00216	OTHER		MEDICARE COMPLETE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0700216	OTHER	UNITED HEALTHCARE
3	112754	OTHER	BCBS
4	100174	OTHER	HEALTHLINK
5	SP15671	OTHER	CIGNA
6	3951	OTHER	HEALTHCARE USA
7	45077	OTHER	GROUP HEALTH PLAN
8	4270227	OTHER	AETNA

General Provider Information

NPI Number	:	1669470878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS ANSTEY M.D.

Provider Business Mailing Address
First Line	:	3009 N BALLAS RD
Second Line	:	STE 356C
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2322
Country	:	US
Telephone Number	:	314-432-2880
Fax Number	:	314-432-4810

Provider Business Practice Location Address
First Line	:	3009 N BALLAS RD
Second Line	:	STE 356C
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2322
Country	:	US
Telephone Number	:	314-432-2880
Fax Number	:	314-432-4810

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. JOHN THOMAS ANSTEY M.D.” Practice Location

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