Provider Demographics
NPI:1366540734
Name:REINBERG, JASON LOES (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:LOES
Last Name:REINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 PATIENTS FIRST DR STE 3600
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4700
Mailing Address - Country:US
Mailing Address - Phone:636-390-1595
Mailing Address - Fax:636-390-1596
Practice Address - Street 1:901 PATIENTS FIRST DR STE 3600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4700
Practice Address - Country:US
Practice Address - Phone:636-390-1595
Practice Address - Fax:636-390-1596
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007015092207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00616027OtherRAILROAD MEDICARE
P00616027OtherRAILROAD MEDICARE