DR. S VIC GLOGOVAC (NPI# 1568499846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568499846 |
Entity Type | Individual |
Full Name | DR. S VIC GLOGOVAC |
Credential | MD |
Practice Address |
12255 De Paul Dr Suite 165 Bridgeton MO 63044-2510 |
Practice Telephone | 3142917510 |
Practice Fax Number | 3142910001 |
Mailing Telephone | 3142917510 |
Mailing Fax Number | 3142910001 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
R9513 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD | 7672 | 01 |
Street Address |
12255 DE PAUL DR SUITE 165 |
City | BRIDGETON |
State | MO |
Zip Code | 63044-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588667497 | Maria Mcfarland | Podiatrist | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2510 | 2005-05-24 |
1760846414 | Rachel Heft | Nurse Practitioner | 12255 De Paul Dr, Suite 200, Bridgeton, MO 63044-2510 | 2016-04-08 |
1174983878 | Angela R Berry | Nurse Practitioner | 12255 De Paul Dr, Ste 700, Bridgeton, MO 63044-2510 | 2016-02-24 |
1922478726 | Darcy L Daniels | Nurse Practitioner | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044 | 2015-10-06 |
1821481474 | Lindsey Rae Duncan | Nurse Practitioner | 12255 De Paul Dr, Suite 865, Bridgeton, MO 63044-2510 | 2015-03-06 |
1376884916 | Comfort & Joy Home Health Care Agency | Home Health | 12255 De Paul Dr, Suite 45n, Bridgeton, MO 63044-2510 | 2013-03-06 |
1457604878 | Mary F Hans | Nurse Practitioner | 12255 De Paul Dr, 320, Bridgeton, MO 63044-2510 | 2012-10-23 |
1073809141 | Amy Colleen Mcclintock | Family Medicine | 12255 De Paul Dr, Suite 600, Bridgeton, MO 63044-2510 | 2011-06-27 |
1528227113 | Eye Physicians of St Louis | Ophthalmology | 12255 De Paul Dr, Bridgeton, MO 63044-2510 | 2008-06-09 |
1790943728 | Depaul Optical | Technician/Technologist | 12255 De Paul Dr, Bridgeton, MO 63044-2510 | 2008-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
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Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740616705 | Andrew J. Kochevar, Md, Pllc | Surgery | 3306 Vista Ave, Saint Louis, MO 63104-1106 | 2013-09-23 |
1699766980 | Subbarao Polineni | Surgery | 6 Jungerman Cir, Ste 107, St Peters, MO 63376 | 2005-11-04 |
1235659061 | Colin William Mcinnes | Surgery | One Barnes Jewish Hospital Plaza, Saint Louis, MO 63110 | 2017-06-22 |
1154561538 | Jeffrey Mark Pike | Surgery | 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 | 2009-02-25 |
1275714784 | Venkata Kr Bodavula | Surgery | 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 | 2007-11-27 |
1801099841 | Surgery Specialist of St. Louis | Surgery | 1035 Bellevue Ave, Suite 203, Saint Louis, MO 63117-1854 | 2007-06-07 |
1447472519 | Midwest Special Surgery, P.C. | Surgery | 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 | 2007-05-02 |
1497974075 | St Louis University | Surgery | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2007-04-24 |
1508997529 | Nicole S Schroeder | Surgery | 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 | 2007-03-08 |
1184779399 | Tony E Sudekum | Surgery | 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 | 2007-01-25 |
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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.