Vascular Surgery of St. Louis P.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R7H29 Issued in MO

Legal business name

VASCULAR SURGERY OF ST. LOUIS P.C.

Practice address

2355 Dougherty Ferry Rd
Suite 440
Saint Louis, MO 63122-3325

Phone

(314) 614-8775

Fax

(314) 983-9559

NPI assigned

Nov 27, 2007

Last updated

Apr 17, 2009By 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

Ms. Angela Renee Chamberlin

Title

Manager

Phone

(314) 750-0935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Gerald Peter McManama III, MD

  • Vascular Surgery Physician
  • Eugene, OR
  • NPI 1780619601
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1316128846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "SUITE 440",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-614-8775",
            "fax_number": "314-983-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "SUITE 440",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-614-8775",
            "fax_number": "314-983-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY OF ST. LOUIS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-750-0935",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R7H29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202643524",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Margaret Varrone, PNP
• Raji P Varughese, ANP
• Wenzel Vas, MD
• Ravina Vasanwala, MD
• Vascular Access Centers, LLC
• Elizabeth Jean Vasel, DO
• Nefeli Vasilakou, DDS
• Alexandru Lucian Vasile, M.D.
• Catherine Ann Vasilevski, D.O.
• Vadim Vasilevski, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.