Albert L Van Amburg III, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

R5296 Issued in MO

Practice address

232 S Woods Mill Rd
Suite 330 East
Chesterfield, MO 63017-3417

Phone

(314) 205-6737

Fax

(314) 576-2378

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Van Amburg & Busiek MDS, LLC

  • Hematology & Oncology Physician
  • Chesterfield, MO
  • NPI 1134227473

  Medical Oncology

  Medicare reassignment NPD
• Van Amburg & Busiek MD'S, LLC

  • Pharmacy
  • Chesterfield, MO
  • NPI 1639738438
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1306804489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "address_2": "SUITE 330 EAST",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6737",
            "fax_number": "314-576-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "address_2": "SUITE 330 EAST",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6737",
            "fax_number": "314-576-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AMBURG",
        "first_name": "ALBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "R5296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201245461",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "241963",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PUBLIC AID",
            "identifier": "0280272087",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MISSOURI",
            "identifier": "14488",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4061290",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "44637",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "182403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zahra Vaezi, MD
• Valeri Kraus
• Valley Vision
• Van Amburg & Busiek MD'S, LLC
• Van Amburg & Busiek MDS, LLC
• Megan Van Horn, PHARM.D
• Julie C Vancardo, O.D.
• Jamie Leigh Vance, CRNA
• Dana Louise Vander Kooi, NP
• Jeffrey A Vander Kooi, M.D.

• Medical Oncology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Medical Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.

Verify at the official NPI Registry.