Organization Active NPI

Chicago Vein Institute S.C.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1194910349
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHICAGO VEIN INSTITUTE S.C.
Practice address
10004 Kennerly Rd # 335
Saint Louis, MO 63128-2141
Phone
(773) 506-7340
Fax
(773) 506-7341
NPI assigned
Sep 11, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICAGO VEIN INSTITUTE S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Mensur Sunje, M.D.NPI 1013954999
Title
Owner
Phone
(773) 506-7340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10004 Kennerly Rd # 335
Saint Louis, MO 63128-2141

Mailing address

10004 Kennerly Rd # 335
Saint Louis, MO 63128-2141
Phone (773) 506-7340

National Provider Directory

National Provider Directory
Part of
Chicago Vein Institute Inc

Locations

10004 Kennerly Rd
#335
Saint Louis, MO 63128
Phone (314) 434-3049

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1194910349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD # 335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD # 335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO VEIN INSTITUTE S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO VEIN INSTITUTE S.C.",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SUNJE",
        "authorized_official_first_name": "MENSUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-506-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.