Active NPI
Laura Marie Viero-Dothage, MD
- Emergency Medicine Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2004001493
- Practice address
- 12303 Depaul Dr
Depaul Health Center
Bridgeton, MO 63044 - Phone
- (314) 344-6000
- Fax
- (630) 734-1560
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2004001493 | MO | Primary |
Addresses
Primary practice location
12303 Depaul Dr
Depaul Health Center
Bridgeton, MO 63044
Mailing address
PO Box 4853
Dept 4036
Oak Brook, IL 60522-4853
Phone (630) 734-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004001493 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Midwest Emergency Associates-Fenton, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1558502989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124000633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4853",
"address_2": "DEPT 4036",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605224853",
"telephone_number": "630-734-0200",
"fax_number": "630-734-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 DEPAUL DR",
"address_2": "DEPAUL HEALTH CENTER",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-344-6000",
"fax_number": "630-734-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERO-DOTHAGE",
"first_name": "LAURA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2004001493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.