Tracy Elmer Strevey Jr., M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Frontenac, MO
NPI 1508024753 · NPPES record last updated May 23, 2008
Key facts
- NPI
- 1508024753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 2007001270 (MO)
- Practice address
- 1509 Woodgate Dr
Frontenac, MO 63131-4724 - Phone
- (314) 966-1044
- Fax
- (314) 966-7720
- NPI assigned
- May 23, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007001270 | MO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2007001270 | MO | Yes |
Addresses
Primary practice location
1509 Woodgate Dr
Frontenac, MO 63131-4724
Mailing address
1509 Woodgate Dr
Frontenac, MO 63131-4724
Phone (314) 966-1044
Other providers in Frontenac, MO
- Evan J Reed
- Donald Reeves Respess
- Michael Joseph Ross
- Elizabeth Selz
- St Lukes Center for Diagnostic Imaging LLC
- Ann Sudekum
- Joseph Sudekum
- Brian Sylve
- Molly J Szweda
- Christine Ann Taylor
All providers in Frontenac, MO · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.