St Louis Heart and Vascular P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

132113 Issued in MO

Legal business name

ST LOUIS HEART AND VASCULAR P.C.

Practice address

11155 Dunn Rd
Suite 304E
Saint Louis, MO 63136-6150

Phone

(314) 741-0911

Fax

(314) 653-3676

NPI assigned

Dec 13, 2013

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Schneider

Title

Associate VP

Phone

(314) 741-0911

Specialties & licenses 3

Addresses

Electronic endpoints 1

Tax ID family

St Louis Heart Vascular2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Louis Heart & Vascular, P.C.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1487678165
  NPD tax ID

Locations

Practitioners 2

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.

• Harvey Serota, M.D.

  • Interventional Cardiology Physician
  • Saint Louis, MO
  • NPI 1346264017

  Cardiovascular Disease

  NPD
• Shariq Shamim, M.D.

  • Interventional Cardiology Physician
  • Suffolk, VA
  • NPI 1356657977

  Cardiovascular Disease

  NPD

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1114348380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0911",
            "fax_number": "314-653-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0911",
            "fax_number": "314-653-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS HEART AND VASCULAR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "ASSOCIATE VP",
        "authorized_official_telephone_number": "314-741-0911"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "132113",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "11155 Dunn Rd",
            "address_2": "Suite 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St Louis Effort for AIDS Inc.
• St Louis Foot and Ankle LLC
• St Louis Gastroenterology Consultants PC
• St Louis Gynecology & Oncology
• St Louis Health Care LLC (St Louis Place Health & Rehabilitation)
• St Louis Heart Center, Inc
• St Louis Hematology Oncology Specialists
• St Louis Hills Urological Associates, Inc
• St Louis Home Healthcare LLC
• St Louis Injury and Rehabilitation Center, LLC

• Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.