MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC


Address: 1031 Bellevue Ave, Suite 349, Saint Louis, MO 63117-1818
Phone: 3146442202

MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC (NPI# 1043493224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043493224
Entity Type Organization
Organization Name MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC
Practice Address 1031 Bellevue Ave
Suite 349
Saint Louis
MO 63117-1818
Practice Telephone 3146442202
Practice Fax Number 3146443155
Mailing Telephone 3146442202
Mailing Fax Number 3146443155
Enumeration Date 2007-12-11
Last Update Date 2007-12-11
Authorized Official Name MS. ANGELA R CHAMBERLIN (MANAGER)
Authorized Official Telephone 3146442202
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
108988 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1031 BELLEVUE AVE
SUITE 349
City SAINT LOUIS
State MO
Zip Code 63117-1818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114908266 Charles Nester Family Medicine 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 2005-11-07
1336673458 Karen Crider Registered Nurse 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1818 2017-04-14
1043551807 Mary C Keane Registered Nurse 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2013-03-04
1043507528 Emily G Basarabescu Physician Assistant 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2011-07-05
1972734523 Jaime Lynn Kynion Nurse Practitioner 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 2009-07-30
1700037637 Heather Allardyce Halenkamp Physician Assistant 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2008-10-09
1780847731 Ewa L Brennan Nurse Practitioner 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2008-07-09
1619151214 Marian Gakes Physician Assistant 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 2007-12-19
1144402660 Ssm Medical Group Clinic/Center 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2007-11-27
1508054198 St Louis Heart Center, Inc Internal Medicine 1031 Bellevue Ave, Suite 206, Saint Louis, MO 63117-1818 2007-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376801548 Matthew Raymond Abate Surgery 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 2012-04-25
1518992429 Ayaz A Malik Surgery 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 2006-07-11
1083687859 Vidal T Sheen Surgery 11144 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6965 2006-02-10
1770145401 Brian Patrick Sullivan Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-07-02
1467947382 Momodou L Jammeh Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 2018-06-22
1861912529 Katherine Marie Holzem Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2017-06-23
1922458892 Bradley John Bowles Surgery 3635 Vista At Grand Boulevard, Saint Louis, MO 63110-4271 2016-06-21
1962852178 Brandon D Downing Surgery 660 S Euclid Ave, Campus Box 8109, 5103a Queeny Tower, Saint Louis, MO 63110-1010 2016-06-18
1093078115 John Westley Ohman Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2012-06-22
1093946873 Suaiman Syed Shoab Surgery 3655 Vista Ave, Saint Louis, MO 63110-2539 2009-07-28
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Competitor

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City SAINT LOUIS
Zip Code 63117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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