Joanne Cvijic, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2007026801 Issued in MO

Practice address

11456 Olive Blvd
Suite 200
Creve Coeur, MO 63141-7101

Phone

(314) 993-8233

Fax

(314) 993-5323

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD (past)
• Vein Specialties LLC

  • Surgery Physician
  • Brevard, NC
  • NPI 1497893655
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1639353311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11456 OLIVE BLVD",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417101",
            "telephone_number": "314-993-8233",
            "fax_number": "314-993-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11456 OLIVE BLVD",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417101",
            "telephone_number": "314-993-8233",
            "fax_number": "314-993-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVIJIC",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2007026801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Family Chiropractic, LLC
• Chandler Alexander Croutch
• Crown Hospice of St. Louis, Inc.
• Theresa Marie Curdt, OTR
• Megan Cussen
• D Troy Curry MD LLC
• Stacey D'Aquila
• Lisa Ann Dahlgren, PH. D.
• Dalin Dental Associates
• Jeffrey B Dalin, DDS

• Surgical Physician Assistant in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.