Provider Demographics
NPI:1790948008
Name:HAAS, JASON (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:HAAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:121 SAINT LUKES CENTER DR STE 406
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3519
Mailing Address - Country:US
Mailing Address - Phone:314-529-4900
Mailing Address - Fax:314-434-2679
Practice Address - Street 1:121 SAINT LUKES CENTER DR STE 406
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017
Practice Address - Country:US
Practice Address - Phone:314-529-4900
Practice Address - Fax:314-434-2679
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2014006550207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1790948008Medicaid
MO200015314Medicaid