MIDWEST VASCULAR & GENERAL SURGERY INC NPI 1366413429

NPI Information

  • NPI: 1366413429
  • Provider Name: MIDWEST VASCULAR & GENERAL SURGERY, INC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 3023 N BALLAS RD
    SUITE 210D
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 993-9229

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NPI Details

MIDWEST VASCULAR & GENERAL SURGERY, INC 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 & GENERAL SURGERY, INC NPI is 1366413429. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3023 N BALLAS RD
SUITE 210D
SAINT LOUIS, MO
ZIP 63131-330
Phone: (314) 993-9229
Fax: (314) 993-8398

The provider's authorized official is Ricardo Rao .
The authorized official title is Delegated Official and has the following contact phone number (314) 993-9229.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 11/27/2013.

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 SurgeryR3J01MISSOURINo
22086S0129XSurgeryVascular Surgery103467MISSOURIYes

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
1209476MEDICARE PINILLINOIS
2000013120MEDICARE PINMISSOURI
3000013121MEDICARE PINMISSOURI

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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