Organization Active NPI

Vaginal Surgery & Urogynecology, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
National Provider Identifier
1376476820
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
VAGINAL SURGERY & UROGYNECOLOGY, LLC
Practice address
10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118
Phone
(314) 807-8765
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Dionysios Veronikis, MD
Title
President
Phone
(314) 973-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118

Mailing address

10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118
Phone (314) 807-8765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1376476820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 370A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631285118",
            "telephone_number": "314-807-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 370A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631285118",
            "telephone_number": "314-807-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAGINAL SURGERY & UROGYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "VERONIKIS",
        "authorized_official_first_name": "DIONYSIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-973-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "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 Jun 5, 2026; 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.