St. Louis Laser & Vein Center

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

100898 Issued in MO

Legal business name

ST. LOUIS LASER & VEIN CENTER

Practice address

14897 Clayton Rd
Suite 100
Chesterfield, MO 63017-7887

Phone

(636) 391-1706

Fax

(636) 391-1201

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roque S Ramos, M.D.

Title

Physician

Phone

(636) 391-1706

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1821327099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS LASER & VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ROQUE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-391-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MO",
            "license": "100898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.