VIDAL T SHEEN (NPI# 1083687859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083687859 |
| Entity Type | Individual |
| Full Name | VIDAL T SHEEN |
| Credential | MD |
| Practice Address |
11144 Tesson Ferry Rd Suite 100 Saint Louis MO 63123-6965 |
| Mailing Address |
16974 Riverdale Dr Chesterfield MO 63005-4474 |
| Practice Telephone | 3148421441 |
| Practice Fax Number | 3148421402 |
| Mailing Telephone | 3148421441 |
| Mailing Fax Number | 3148421402 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
108604 | MO | Allopathic & Osteopathic Physicians |
| N | 202K00000X | Phlebology | 108604 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203819214 | 05 | |
| MO | MEDICARE RAILROAD | P00695170 | 01 |
| MO | MEDICARE RAILROAD GROUP PTAN | DT0542 | 01 |
| MO | MEDICARE PTAN | 2665001 | 01 |
| Street Address |
11144 TESSON FERRY RD SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-6965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722076 | St. Anthony's Physician Organizaton | Internal Medicine | 11144 Tesson Ferry Rd, Ste 201, Saint Louis, MO 63123-6965 | 2015-10-08 |
| 1336519206 | Shanon Harlow, LLC | Psychologist | 11144 Tesson Ferry Rd, Suite 200, Saint Louis, MO 63123-6965 | 2015-10-04 |
| 1588957070 | Aleksandra Kehder | Counselor | 11144 Tesson Ferry Rd, Suite 200, Saint Louis, MO 63123-6965 | 2011-05-17 |
| 1619267960 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11144 Tesson Ferry Rd, Ste 101, Saint Louis, MO 63123-6965 | 2011-04-07 |
| 1255648523 | Sheen Vein Institute Inc | Internal Medicine | 11144 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6965 | 2010-09-08 |
| 1831216423 | Tara Talwar Md PC | Internal Medicine | 11144 Tesson Ferry Rd, Suite 201, Saint Louis, MO 63123-6965 | 2007-03-26 |
| 1235175720 | Praxair Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 11144 Tesson Ferry Rd, Ste 101, Saint Louis, MO 63123-6965 | 2006-06-22 |
| 1962453761 | Tara Talwar | Internal Medicine | 11144 Tesson Ferry Rd, Ste 201, Saint Louis, MO 63123-6965 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1467947382 | Momodou L Jammeh | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-06-22 |
| 1861912529 | Katherine Marie Holzem | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-23 |
| 1922458892 | Bradley John Bowles | Surgery | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110-4271 | 2016-06-21 |
| 1962852178 | Brandon D Downing | Surgery | 660 S Euclid Ave, Campus Box 8109, 5103a Queeny Tower, Saint Louis, MO 63110-1010 | 2016-06-18 |
| 1093078115 | John Westley Ohman | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-22 |
| 1093946873 | Suaiman Syed Shoab | Surgery | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2009-07-28 |
| 1851525190 | Mohamed Adel Zayed | Surgery | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2009-05-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63123 |
Please comment or provide details below to improve the information on VIDAL T SHEEN.
| 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.