Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Robert Etzkorn, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1124066253

Dr. James Robert Etzkorn, MD is an Internal Medicine in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 1973, 53 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
53
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2821 N Ballas Rd
Saint Louis, MO 63131-2321
Phone: (314) 995-9718
Fax: (314) 995-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence R5648 (MO)

Record details

NPI number1124066253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2821 N Ballas Rd, Saint Louis, MO 63131-2321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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