FRESENIUS VASCULAR CARE ST LOUIS LLC (NPI# 1073878450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073878450 |
| Entity Type | Organization |
| Organization Name | FRESENIUS VASCULAR CARE ST LOUIS LLC |
| Other Organization Name | AZURA VASCULAR CARE ST. LOUIS |
| Practice Address |
201 Dunn Rd Florissant MO 63031-7928 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Malvern PA 19355-1407 |
| Practice Telephone | 3147835955 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 4849240053 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MR. JEFFREY E. SNODGRASS (PRESIDENT) |
| Authorized Official Telephone | 6106448900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1073878450 | 05 |
| Other Name | Type Code |
|---|---|
| Azura Vascular Care St. Louis | Doing Business As Name - Organization |
| Street Address |
201 DUNN RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-7928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376170 | Jay Welch Albovias | Radiology | 201 Dunn Rd, Florissant, MO 63031-7928 | 2006-02-21 |
| 1245781459 | Fresenius Vascular Care St Louis Asc LLC | Clinic/Center | 201 Dunn Rd, Florissant, MO 63031-7928 | 2016-10-23 |
| 1821131806 | Fairview Heights Medical Group Sc | Internal Medicine | 201 Dunn Rd, Florissant, MO 63031-7928 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376170 | Jay Welch Albovias | Radiology | 201 Dunn Rd, Florissant, MO 63031-7928 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649396334 | William Edward Holloway | Radiology | 226 N Boyle Ave Apt 2n, Saint Louis, MO 63108-2922 | 2007-03-22 |
| 1740212299 | Vein Doctor LLC | Radiology | 2529 Glenn Hendren Dr Ste G60, Liberty, MO 64068-9607 | 2006-07-07 |
| 1548265960 | Dion Carlo Depaolis | Radiology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2005-06-14 |
| 1851895718 | Allison Khoo | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-03-23 |
| 1922530666 | Francisco Javier Gortes | Radiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2017-03-31 |
| 1154778959 | Jimmy Xu | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2016-05-21 |
| 1396152005 | Ahmed Abdelbaki | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2014-07-14 |
| 1124446844 | Alexander Ushinsky | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110 | 2014-03-31 |
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| 1225474612 | Monica J Uceda Arriola | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.