Active NPI
Midwest Cardiovascular, Inc.
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1649468786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R1E18
- Legal business name
- MIDWEST CARDIOVASCULAR, INC.
- Practice address
- 1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856 - Phone
- (314) 644-5650
- Fax
- (314) 644-1524
- NPI assigned
- Oct 12, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Nancy Bodet, RN
- Title
- RN/Office Manager
- Phone
- (314) 644-5650
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Liberty, MO
- NPI 1588611669
NPD (past) Cardiovascular Disease
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R1E18 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856
Mailing address
1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856
Phone (314) 644-5650
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649468786 | Other | MO | NPI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2007.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1649468786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 BELLEVUE AVE STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171856",
"telephone_number": "314-644-5650",
"fax_number": "314-644-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 BELLEVUE AVE STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171856",
"telephone_number": "314-644-5650",
"fax_number": "314-644-1524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST CARDIOVASCULAR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "BODET",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "RN/OFFICE MANAGER",
"authorized_official_telephone_number": "314-644-5650",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R1E18",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1649468786",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Midwest Anesthesia Providers S.C
- Midwest Behavioral Health and Wellness
- Midwest Bone & Joint Surgery
- Midwest Bone & Joint Surgery PC
- Midwest Cardiovascular Center, LLC
- Midwest Diagnostic Imaging Center
- Midwest Diagnostic Services LLC
- Midwest Emergency St. Alexius Inc
- Midwest Endoscopy Center, LLC
- Midwest Family Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.