What is Jack Vesper's NPI number?

The NPI number assigned to this healthcare provider is 1205670205, enumerated as a individual on June 24, 2024.

Where is the provider located?

The provider is located at 615 S NEW BALLAS RD SAINT LOUIS, MO 63141 and the phone number is (314) 251-6000.

What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

JACK THOMAS VESPER - NPI 1205670205 - Family Medicine in Saint Louis, MO

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About Jack Thomas Vesper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK THOMAS VESPER (NPI 1205670205) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2026025517) and active in the NPI registry since June 2024. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1205670205

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK THOMAS VESPER

Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221

Mailing Address1906 Huntington AveNichols Hills, OK 73116-5506 · (405) 550-7487

Phone(314) 251-6000

Sole ProprietorYes

Enumeration DateJune 24, 2024

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1205670205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2026025517

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

615 S NEW BALLAS RD, Saint Louis, MO 63141

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Secondary Practice Location 1

Location 112680 Olive Blvd Ste 300Saint Louis, MO 63141-6322 · Phone (314) 251-8888

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP