Mr. Jastin L Antisdel, MD
Mr. Jastin L Antisdel, MD is an Otolaryngology in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2004, 22 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Missouri.
- Years since qualifying
- 22
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- GA, MO
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1225 S Grand Blvd Garden LevelSaint Louis, MO 63104-1016
Phone: (314) 977-5110
Fax: (314) 977-7686
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 555 N New Ballas Rd Ste 260, Saint Louis, MO 63141-6886 — (314) 977-6362
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 2005036993 (MO) |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X · Licence 062018 (GA) |
Record details
| NPI number | 1073714564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 30, 2007 |
| Last updated in NPPES | January 13, 2021 |
| Certification date | January 13, 2021 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Ssm Health Care Group — 923 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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