Active NPI
Comprehensive Vascular Services LLC
- Vascular Surgery Physician
- Saint Louis, MO
National Provider Identifier
1790966224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- R6N10
- Legal business name
- COMPREHENSIVE VASCULAR SERVICES LLC
- Practice address
- 1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1854 - Phone
- (314) 644-6300
- Fax
- (314) 644-2503
- NPI assigned
- Nov 27, 2007
- Last updated
- Dec 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Paul Spadone, MD
- Title
- Surgeon
- Phone
- (314) 644-6300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | R6N10 | MO | Primary |
Addresses
Primary practice location
1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1854
Mailing address
1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1854
Phone (314) 644-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202916011 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Oklahoma City, OK
- NPI 1114935434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293580800000",
"number": "1790966224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 BELLEVUE AVE",
"address_2": "SUITE 500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171854",
"telephone_number": "314-644-6300",
"fax_number": "314-644-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 BELLEVUE AVE",
"address_2": "SUITE 500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171854",
"telephone_number": "314-644-6300",
"fax_number": "314-644-2503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE VASCULAR SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2010-12-29",
"status": "A",
"authorized_official_last_name": "SPADONE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "314-644-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "R6N10",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202916011",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Comprehensive Psychiatry of St. Louis,LLC
- Comprehensive Psychological Services PC (Rosalyn Schultz PHD)
- Comprehensive Rehabilitation and Ergonomics Services Inc (CORE Services Inc)
- Comprehensive Spine Care, PC (Comprehensive Spine Care)
- Comprehensive Surgical and Testing Services
- Christopher Compton, M.D.
- James S Compton, M.D.
- Kimberly Doris Compton, MA, LPC, NCC, MAC
- Leigh Anne Compton, MD PHD
- Leslie Renee Compton, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.