DR. GARY VLAHOVICH (NPI# 1093757841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093757841 |
| Entity Type | Individual |
| Full Name | DR. GARY VLAHOVICH |
| Credential | D.O. |
| Practice Address |
3009 N Ballas Rd Suite 214b Saint Louis MO 63131-2322 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 3149967888 |
| Practice Fax Number | 3149967885 |
| Mailing Telephone | 3149967888 |
| Mailing Fax Number | 3149967885 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MOR6208 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
R6208 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 241104207 | 05 |
| Street Address |
3009 N BALLAS RD SUITE 214B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214505 | Lee S Portnoff | Dermatology | 3009 N Ballas Rd, Ste 310a, Saint Louis, MO 63131-2353 | 2005-06-11 |
| 1255878054 | John William Molitor Jr. | Nurse Practitioner | 3009 N Ballas Rd, Suite 323a, Saint Louis, MO 63131-2322 | 2017-01-31 |
| 1669922068 | Melanie Huff | Registered Nurse | 3009 N Ballas Rd, Ste 207b, Saint Louis, MO 63131-2322 | 2016-10-10 |
| 1518410810 | Alison Olivo | Audiologist | 3009 N Ballas Rd, Ste 380c, Saint Louis, MO 63131-2322 | 2016-08-03 |
| 1225483274 | Stacey Smith | Social Worker | 3009 N Ballas Rd, Building A, Suite 228, Saint Louis, MO 63131-2322 | 2016-04-27 |
| 1386005874 | Megan K Sipes | Nurse Practitioner | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2016-03-11 |
| 1962867457 | Joseph Ryan Walsh | Physician Assistant | 3009 N Ballas Rd, Suite 304a, Saint Louis, MO 63131-2322 | 2015-12-28 |
| 1114321916 | Erin Desmarais | Audiologist | 3009 N Ballas Rd, Ste 351c, Saint Louis, MO 63131-2322 | 2014-10-22 |
| 1386048023 | Shannon L Tucker | Registered Nurse | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2014-10-09 |
| 1700287059 | Julia Rudy | Nurse Anesthetist, Certified Registered | 3009 N Ballas Rd, Suite 371, Saint Louis, MO 63131-2322 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
| 1013909613 | Paul H Gibson | Internal Medicine | 11188 Tesson Ferry Road, Suite 100, Saint Louis, MO 63123 | 2005-08-19 |
| 1629207477 | Elsayed Salem Abo-salem | Internal Medicine | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2009-07-14 |
| 1538302567 | Edward David Coverstone | Internal Medicine | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2009-04-06 |
| 1962509992 | County Cardiology, Inc. | Internal Medicine | 10004 Kennerly Rd, Suite 247, Saint Louis, MO 63128-2141 | 2006-09-20 |
| 1548274749 | Sundeep Das | Internal Medicine | 11155 Dunn Rd, Ste 304e, Saint Louis, MO 63136-6150 | 2006-07-27 |
| 1396769055 | Rafiq Ramadan | Internal Medicine | 11155 Dunn Rd, Ste 304e, Saint Louis, MO 63136-6150 | 2006-07-27 |
| 1346264017 | Harvey Serota | Internal Medicine | 11155 Dunn Rd, Ste 304e, Saint Louis, MO 63136-6150 | 2006-07-27 |
| 1437173119 | Gil M Vardi | Internal Medicine | 11155 Dunn Rd, Ste 304e, Saint Louis, MO 63136-6150 | 2006-07-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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| 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.