Michael G Vranich (NPI# 1700862653, PAC ID# 0446256390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1700862653 |
PAC ID by PECOS | 0446256390 |
Professional Enrollment ID | I20100310000974 |
Full Name | Michael G Vranich |
Organization Legal Name | SSM DEPAUL MEDICAL GROUP INC |
Address |
3444 Mckelvey Rd Bridgeton MO 63044-2525 |
Phone Number | 3142916224 |
Gender | M |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1974 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 7618871286 |
Number of Group Practice Members | 118 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260104 | SSM HEALTH DEPAUL HOSPITAL ST LOUIS |
Address | Phone | Organization |
---|---|---|
3444 Mckelvey Rd, Bridgeton, MO 63044-2525 | 3142916224 | SSM DEPAUL MEDICAL GROUP INC |
Organization Legal Name | SSM DEPAUL MEDICAL GROUP INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel H Lischwe | Family Practice | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
Kimberly F Anno | Nurse Practitioner | Ssm Depaul Medical Group Inc | 1120 Shackelford Rd, Florissant, MO 63031-4369 |
Ann L Venegoni-james | Nurse Practitioner | Ssm Depaul Medical Group Inc | 1120 Shackelford Rd, Florissant, MO 63031-4369 |
Chukiat Tansuwan | Internal Medicine | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
Yakima Young-shields | Nurse Practitioner | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
Street Address |
3444 MCKELVEY RD |
City | BRIDGETON |
State | MO |
Zip | 63044-2525 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adnan Y Siddiqui | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
Find all physicians in zip 63044 |
City | BRIDGETON |
Zip Code | 63044 |
Specialty | GENERAL SURGERY |
City + Specialty | BRIDGETON + GENERAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.