MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC NPI 1043493224

NPI Information

  • NPI: 1043493224
  • Provider Name: MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 1031 BELLEVUE AVE
    SUITE 349
    SAINT LOUIS, MO
    ZIP 63117
  • Phone: (314) 644-2202

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NPI Details

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
12086S0129XSurgeryVascular Surgery108988MISSOURIYes

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
1G05280MEDICARE UPINMISSOURI

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: 3/30/2025

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