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JONTHAN PUDER
NPI 1699505891
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since August 03, 2024PECOS Enrolled
660 S EUCLID AVE, SAINT LOUIS, MO 63110(508) 641-8486 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonthan Puder NPPES

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

JONTHAN PUDER (NPI 1699505891) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699505891
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONTHAN PUDER
Location Address660 S EUCLID AVESaint Louis, MO 63110-1010
Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010 · (508) 641-8486
Phone(508) 641-8486
Sole ProprietorNo
Enumeration DateAugust 3, 2024
NPPES CertifiedAugust 3, 2024
✔ NPI 1699505891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
660 S EUCLID AVE, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonthan Puder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WUSM BJC ACO PROVIDERS
Clinic/Center (Multi-Specialty)
660 S EUCLID AVE, CAMPUS BOX 8081
SAINT LOUIS, MO 63110
St. Louis City (314) 273-0770
ANDREA YUE-EN SUN MD
Student in an Organized Health Care Education/Training Program
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8065
MEGAN CLAIRE KERNS MD
Student in an Organized Health Care Education/Training Program
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8065
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5184
SARAH B. ASCHKENASI MD
Pediatrics
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1264
DR. BENJAMIN HARRIS TIMMINS M.D.
Plastic Surgery
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (435) 764-4932
ANDREA NAES NP
Nurse Practitioner
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3706
DR. JONATHAN M GREEN MD
Internal Medicine (Pulmonary Disease)
660 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonthan Puder's NPI number?

The NPI number for Jonthan Puder is 1699505891. It was assigned to this individual provider in the NPPES registry on August 3, 2024.

Where is Jonthan Puder located?

Jonthan Puder practices at 660 S Euclid Ave, Saint Louis, MO 63110. The listed phone number is (508) 641-8486.

What is Jonthan Puder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonthan Puder enrolled in Medicare?

Yes. Jonthan Puder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonthan Puder was last updated on August 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.