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

John Anthony Boudreau, MD

Individual provider Orthopaedic Surgery Physician · NPI 1053338640

John Anthony Boudreau, MD is an Orthopedic Surgery in Saint Louis, Missouri. Graduated from Wayne State University School of Medicine in 2000, 26 years ago. Practices with Mercy Clinic Trauma and General Surgery LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
26
Trained at
Wayne State University School of Medicine
Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 257-8000
Fax: (314) 268-5121
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence D0063481 (MD)

Record details

NPI number1053338640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing address3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Mercy Clinic Trauma And General Surgery Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis