Midwest Vascular & General Surgery, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

103467 Issued in MO

Legal business name

MIDWEST VASCULAR & GENERAL SURGERY, INC

Practice address

3023 N Ballas Rd
Suite 210D
Saint Louis, MO 63131-2330

Phone

(314) 993-9229

Fax

(314) 993-8398

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Ricardo Rao, MDNPI 1427029362

Title

Delegated Official

Phone

(314) 993-9229

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Rao, MD

  • Vascular Surgery Physician
  • Saint Louis, MO
  • NPI 1427029362
  Medicare reassignment Authorized official
• Daniel Hafenrichter, MD

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1063483139
  Medicare reassignment
• Ayaz A Malik, MD

  • Vascular Surgery Physician
  • Saint Louis, MO
  • NPI 1518992429
  NPD (past)
• Craig R Smith, MD

  • Surgery Physician
  • Saint Charles, MO
  • NPI 1962519785
  NPD (past)
• Michael Scott Morris, PA-C

  • Physician Assistant
  • Schaumburg, IL
  • NPI 1578539847
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1366413429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 210D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312330",
            "telephone_number": "314-989-0300",
            "fax_number": "314-569-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 210D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312330",
            "telephone_number": "314-993-9229",
            "fax_number": "314-993-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VASCULAR & GENERAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "314-993-9229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "103467",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R3J01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Therapeutic Endoscopy Consultants LLC
• Midwest Therapy
• Midwest Trauma Recovery Center, LLC
• Midwest Urogynecology, LLC
• Midwest Urogynecology, LLC
• Midwest Vascular and Endovascular Surgery PC
• Midwest Vision Center, LLC
• Midwestern Ophthalmology, LLC
• Melissa Miech, LMSW
• Luther Mieser

• 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 Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.