Varicose Vein Center of St Louis, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

R7718 Issued in MO

Legal business name

VARICOSE VEIN CENTER OF ST LOUIS, INC

Doing business as

The Vein Center & CosMed

Practice address

12360 Manchester Rd
Ste 206
Saint Louis, MO 63131-4312

Phone

(314) 966-6100

Fax

(314) 966-8148

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark F Blumenthal, MD

Title

President

Phone

(314) 966-6100

Specialties & licenses 1

Addresses

Other names 1

• The Vein Center & CosMed Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Ella Wagner, M.D.

  • Specialist
  • Chesterfield, MO
  • NPI 1669445060
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1992996821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD",
            "address_2": "STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-966-6100",
            "fax_number": "314-966-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD",
            "address_2": "STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-966-6100",
            "fax_number": "314-966-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE VEIN CENTER OF ST LOUIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-966-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vein Center & CosMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anson Varghese, DO
• Jordan John Varghese
• Lyn Eve Vargo, PHD, RN, NNP-BC10/22
• Richard J. Vargo, DMD, MBA
• Victoria Lynn Vargo, M.S.,CCC-SLP
• Chintalapati Varma, M.D.,F.R.C.S.,F.A.C.
• Sreelatha C. Varma, M.D.
• Aimee Layla Varnado, MD
• Emily Catherine Varner-Boland, RD, LD
• Christine Varner, MSOTR/L

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.