DR. GINO JOSEPH VRICELLA MD NPI 1548464431

NPI Information

NPI: 1548464431
Provider Name: DR. GINO JOSEPH VRICELLA, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV SURG UROLOGY PED, STE 2A
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6034
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DR. Gino Joseph Vricella, MD is an urology in Saint Louis, MO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Gino Joseph Vricella, MD NPI is 1548464431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHILDRENS PL
DIV SURG UROLOGY PED, STE 2A
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6034
Fax: (314) 454-2876

The NPI 1548464431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 11/15/2021.

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	2088P0231X	Urology	Pediatric Urology	2013017657	MISSOURI	No
2	208800000X	Urology		2013017657	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	200006355	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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