Midwest Vascular and Endovascular Surgery PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

108988 Issued in MO

Legal business name

MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC

Practice address

1031 Bellevue Ave
Suite 349
Saint Louis, MO 63117-1818

Phone

(314) 644-2202

Fax

(314) 644-3155

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Angela R Chamberlin

Title

Manager

Phone

(314) 644-2202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1043493224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE",
            "address_2": "SUITE 349",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171818",
            "telephone_number": "314-644-2202",
            "fax_number": "314-644-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE",
            "address_2": "SUITE 349",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171818",
            "telephone_number": "314-644-2202",
            "fax_number": "314-644-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-644-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "108988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Therapy
• Midwest Trauma Recovery Center, LLC
• Midwest Urogynecology, LLC
• Midwest Urogynecology, LLC
• Midwest Vascular & General Surgery, Inc
• Midwest Vision Center, LLC
• Midwestern Ophthalmology, LLC
• Melissa Miech, LMSW
• Luther Mieser
• Jenelle Elizabeth Nadeau Miesner, AA

• Vascular Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.