MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC NPI 1043493224

NPI Information

NPI: 1043493224
Provider Name: MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1031 BELLEVUE AVE
SUITE 349
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 644-2202
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MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC is a vascular surgery surgery in Saint Louis, MO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC NPI is 1043493224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1031 BELLEVUE AVE
SUITE 349
SAINT LOUIS, MO
ZIP 63117-818
Phone: (314) 644-2202
Fax: (314) 644-3155

The provider's authorized official is Angela R Chamberlin .
The authorized official title is Manager and has the following contact phone number (314) 644-2202.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	108988	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G05280	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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