Basic Information
| Provider Information | |||||||||
| NPI: | 1831170968 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAASSEN | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 23340 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631563340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148437333 | ||||||||
| FaxNumber: | 3148439946 | ||||||||
| Practice Location | |||||||||
| Address1: | 5034 GRIFFIN RD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631283418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148437333 | ||||||||
| FaxNumber: | 3148439946 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 09/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R7H60 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 127466 | 01 | MO | GHP | OTHER | 26093 | 01 | MO | BCBS | OTHER | 260293 | 01 | MO | HEALTHLINK | OTHER | 0400519 | 01 | MO | UHC | OTHER | 4540903 | 01 | MO | AETNA | OTHER | 000000010024 | 01 | MO | ESSENCE | OTHER | 127490 | 01 | MO | GHP | OTHER | F92833 | 01 | MO | MERCY | OTHER | 25688 | 01 | MO | BCBS | OTHER |