Modern Vascular Of St Louis Llc, NPI 1972106391
Vascular & Interventional Radiology Physician in Creve Coeur, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1972106391
NPI Entity Type Organization
Provider Name Modern Vascular Of St Louis Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 641 N New Ballas Rd, Creve Coeur, MO, US
Provider Mailing Address 26500 Agoura Rd Ste 102-587, Calabasas, CA, US, 913021952
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Yury Gampel
Official Position CEO
Phone 818-880-8605

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

2085R0204X

Taxonomy Name Vascular & Interventional Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

Description A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

Modern Vascular Of St Louis Llc
641 N New Ballas Rd

Creve Coeur, MO, US

Phone: 314-648-0101
Fax: 314-899-2715

Mailing Address

Modern Vascular Of St Louis Llc
26500 Agoura Rd Ste 102-587
Calabasas, CA, US
ZIP 913021952
Phone: 818-880-8605
Fax: 818-579-7916

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2471V0106X

Technologists, Technicians & Other Technical Service Providers

Radiologic Technologist

No

Other Providers in MO, US

NPI Name Taxonomy Address

1679982664

RN, NNP-BC Rachel Renelle Neier

Individual

Neonatal Nurse Practitioner

100 Mercy Way

Joplin, MO

1497477400

APRN Sylvia Lynn Arney

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Pediatric Nurse Practitioner

2401 Gillham Rd

Kansas City, MO

1851016224

Families First Transportation, Llc

Organization

Home Health Agency

10850 W Florissant Ave

Saint Louis, MO

1003351404

Erin Alfonso

Individual

Assistant Behavior Analyst

1209 E Walnut St

Columbia, MO

1184349540

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

1350 S Jefferson Ave Ste C

Lebanon, MO

1730804196

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

4830 E 32nd St Ste 1

Joplin, MO

1801805791

M.D. Eric Jaques Carbonell

Individual

Psychiatry Physician

110 N Mill St

Festus, MO

1750037735

LCSW Macey Laplant

Individual

Social Worker

1403 E Marshall St

Charleston, MO

1730707068

NNP-BC Alyssa Patterson

Individual

Neonatal Nurse Practitioner

1 Childrens Pl

Saint Louis, MO

1538884986

PLPC Christopher M Mattix

Individual

Case Manager/Care Coordinator

17844 E 23rd St S

Independence, MO

1588389928

DR. PHD Emma Welch

Individual

Psychologist

26515 State Highway 39

Shell Knob, MO

1609591049

John White

Individual

Attendant Care Provider

1411 E Gano Ave

Saint Louis, MO

1487718854

Catholic Comprehensive Services For Children, Child Center-marygrove

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

2705 Mullanphy Ln

Florissant, MO

1538884978

NP Sarah Enyard

Individual

Family Nurse Practitioner

1600 E Broadway

Columbia, MO

1174248504

Elizabeth Kathleen Smith

Individual

Professional Counselor

829 W Atlantic St

Springfield, MO

1073514600

Odyssey Healthcare Of Kansas City Llc

Organization

Community Based Hospice Care Agency

20101 E Jackson Dr

Independence, MO

1023748134

PT, DPT Klaire Hart Phillips

Individual

Physical Therapist

10801 E State Route 350

Raytown, MO

1316662745

Kristina Daugherty

Individual

Case Manager/Care Coordinator

21 Municipal Dr

Arnold, MO

1245619154

DR. MD Douglas James Cassidy

Individual

Surgery Physician

1 Barnes Jewish Hospital Plz

Div Surg Mis

Saint Louis, MO

1427773852

FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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