Vincent P Fortunato (NPI# 1174508436, PAC ID# 9234254947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174508436 |
| PAC ID by PECOS | 9234254947 |
| Professional Enrollment ID | I20100918000139 |
| Full Name | Vincent P Fortunato |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Address |
6651 Chippewa St Suite 322 Saint Louis MO 63109-2532 |
| Phone Number | 3144579338 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6507129699 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260176 | DES PERES HOSPITAL |
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 | 3148216889 | PREMIER MEDICAL PHYSICIANS LLC |
| 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 | 3144579338 | PREMIER MEDICAL PHYSICIANS LLC |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Buckley | Family Medicine | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Anahit Danielyan | Internal Medicine | Premier Medical Physicians LLC | 2315 Dougherty Ferry Rd, Suite 109a, Saint Louis, MO 63122-3383 |
| David Kantor | Family Medicine | Premier Medical Physicians LLC | 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 |
| Michele Neudecker | Nurse Practitioner | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| James Ginther Jr. | Internal Medicine | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Kellie Hopkins | Nurse Practitioner | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Street Address |
6651 CHIPPEWA ST SUITE 322 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63109-2532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul N Selvadurai | Internal Medicine | 6651 Chippewa St, Suite 214, Saint Louis, MO 63109-2531 | |
| Karen A Bergman | Chiropractic | 6651 Chippewa St, Suite 219, Saint Louis, MO 63109-2531 | |
| Kathryn T Comstock | Podiatry | S Thomas Sehy Dpm LLC | 6651 Chippewa St, Suite 316, Saint Louis, MO 63109-2532 |
| Mohammad F Ghani | Internal Medicine | 6651 Chippewa St, Suite 203, Saint Louis, MO 63109-2531 | |
| Nancy M Richman | Qualified Audiologist | 6651 Chippewa St, Suite 315, Saint Louis, MO 63109-2532 | |
| Sara I Hawatmeh | Internal Medicine | Sam Hawatmeh, M D, P C | 6651 Chippewa St, Suite 202, Saint Louis, MO 63109-2531 |
| Isam Salim Hawatmeh | Internal Medicine | Sam Hawatmeh, M D, P C | 6651 Chippewa St, Suite 202, Saint Louis, MO 63109-2531 |
| Michele Neudecker | Nurse Practitioner | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Jacquelyn Brewer Garrett | Dermatology | 6651 Chippewa St, Suite 319, Saint Louis, MO 63109-2532 | |
| Joseph P Vitale | Chiropractic | 6651 Chippewa St, Suite 311, Saint Louis, MO 63109-2532 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom M Hawk | Orthopedic Surgery | 3824 Watson Rd, St Louis, MO 63109-1237 | |
| Rebecca Jean Smith | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Tammam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Amee M Rozanc | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Liwa T Younis | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Elizabeth R Galler | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Joseph M Seria | Internal Medicine | 3915 Watson Rd, Suite 204, St Louis, MO 63109-1251 | |
| Vincent Sollecito Iii | Podiatry | 3915 Watson Rd, Suite 200, Saint Louis, MO 63109-1251 | |
| Otha Myles | Internal Medicine | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | |
| Edina Karahodzic | Family Medicine | 3915 Watson Rd, Suite 203, Saint Louis, MO 63109-1251 | |
| Find all physicians in zip 63109 | |||
| City | SAINT LOUIS |
| Zip Code | 63109 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vincent P Fortunato.
| 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.