St. Louis Heart Institute Cardiothoracic Surgeons, Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

R5C87 Issued in MO

Legal business name

ST. LOUIS HEART INSTITUTE CARDIOTHORACIC SURGEONS, INC.

Doing business as

St. Louis Heart Institute

Practice address

4800 Mexico Rd Ste 103
Saint Peters, MO 63376-1666

Phone

(314) 909-0747

Fax

(844) 535-9135

NPI assigned

Jul 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jan M Brown

Title

Office Manager

Phone

(314) 909-0747

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• St. Louis Heart Institute Doing business as

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor C Axford, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Louis, MO
  • NPI 1528094224
  NPD (past)
• John Codd, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Louis, MO
  • NPI 1124066550
  NPD (past)
• Robert M Lorenz, RN,ANP

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1295769693
  NPD (past)
• Pamela Sue Peigh, M.D.

  • Surgical Critical Care Physician
  • Saint Charles, MO
  • NPI 1629187505
  NPD (past)
• Heather Ann Schmitz, PA-C

  • Surgical Physician Assistant
  • Bridgeton, MO
  • NPI 1235163635
  NPD (past)
• David B Vanhoornbeek, PA-C

  • Medical Physician Assistant
  • Saint Louis, MO
  • NPI 1912025925
  NPD (past)
• Darcie L Wallace, PA-C

  • Surgical Physician Assistant
  • Saint Louis, MO
  • NPI 1083648489
  NPD (past)
• Charles John Ablan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooksville, FL
  • NPI 1174630529
  NPD (past)
• Darlene Mary Bry, PA

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1528245529
  NPD (past)
• Stephen E D'Orazio, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Naples, FL
  • NPI 1437189552
  NPD (past)
• Stephen Edward Gunn, PA-C

  • Surgical Physician Assistant
  • Iowa City, IA
  • NPI 1073511572
  NPD (past)
• Mari Catherine Hirano Kang, PA

  • Surgical Physician Assistant
  • St Petersburg, FL
  • NPI 1871505677
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1013935816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD STE 103",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "314-909-0747",
            "fax_number": "844-535-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD STE 103",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "314-909-0747",
            "fax_number": "844-535-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Dougherty Ferry Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631223325",
            "country_code": "US",
            "telephone_number": "314-909-0747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Bowles Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262387",
            "country_code": "US",
            "telephone_number": "314-909-0747",
            "fax_number": "844-535-9135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Mexico Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761666",
            "country_code": "US",
            "telephone_number": "314-909-0747",
            "fax_number": "844-535-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LOUIS HEART INSTITUTE CARDIOTHORACIC SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-909-0747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R5C87",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "R5C87",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "R1A72",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2003015803",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "20060105803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GORDON KNIGHT",
            "identifier": "1942234331",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242527208",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1013935816",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "990000841",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Louis Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Charles County Ambulance District
• St. Charles County Ambulance District
• St. Charles Nephrology
• St. Charles Orthopaedic Surgery Associates, Inc.
• St. Charles Sports&Physical Therapy, Inc.
• St. Peters Community Healthcare, LLC (St. Peters Post Acute)
• St. Peters Cosmetic and Family Dentistry LLC
• St. Peters Manor, Inc. (St Peters Manor Care Center)
• St. Peters Orthodontics LLC (Unger Orthodontics)
• Laurie Stabile, OTR/L

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.