Proceso T Arenos Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34824 Issued in MO

Practice address

3009 N Ballas Rd
Suite 129a
Saint Louis, MO 63131-2322

Phone

(314) 567-5377

Fax

(314) 567-5376

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Comprehensive Epilepsy Care Center for Children and Adults, P.C.

  • Specialist
  • St. Louis, MO
  • NPI 1093886749
  NPD (past)
• Overland Medical Center

  • Internal Medicine Physician
  • Overland, MO
  • NPI 1679637870
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1245259498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 129A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-567-5377",
            "fax_number": "314-567-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 129A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-567-5377",
            "fax_number": "314-567-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENOS",
        "first_name": "PROCESO",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "34824",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "34824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201072006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shervin B Ardekani, MSW, LCSW
• Ardent Health STL LLC
• Allison M Arehart, DPT
• Arena Manor, Inc.
• Arenos, Inc
• Christopher Thomas Arett, MD
• Sharon Arft, P.T.
• Alexis Chris Argoudelis, M.D.
• Dimitrios Chrisovalantou Arhontoulis, MD, PHD
• Alexander Brooks Aria, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.