Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Matthew Maddox

Individual provider Family Medicine Physician · NPI 1306414552

Jason Matthew Maddox is a Family Practice in Saint Louis, Missouri. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2021, 5 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
5
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

12680 Olive Blvd Ste 300
Saint Louis, MO 63141-6322
Phone: (314) 251-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2021021904 (MO)

Record details

NPI number1306414552
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2021
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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