GOMELB VASCULAR CONSULTANTS LLC (NPI# 1760943047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760943047 |
| Entity Type | Organization |
| Organization Name | GOMELB VASCULAR CONSULTANTS LLC |
| Practice Address |
3933 S Broadway Saint Louis MO 63118-4601 |
| Mailing Address |
9006 Stonebridge Dr Richmond Heights MO 63117-1025 |
| Practice Telephone | 3148657000 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | OLAGUOKE AKINWANDE (CEO) |
| Authorized Official Telephone | 3143803099 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C1101X |
Radiologic Technologist Specialization: Cardiovascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3933 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017746 | St Alexius Hospital Corporation 1 | Psychiatric Unit | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2005-07-14 |
| 1174007041 | Lugaychi Turner | Nurse Practitioner | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2018-09-18 |
| 1902391451 | Mithen Neurology LLC | Psychiatry & Neurology | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2018-06-27 |
| 1134632573 | Midwest Emergency St. Alexius Inc | Emergency Medicine | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2017-11-07 |
| 1447703269 | Hawthorn Emergency Physicians, LLC | Physician Assistant | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-07-28 |
| 1154779312 | Jeremy David Samuels | Pharmacist | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-05-28 |
| 1396105664 | Torrant Emergency Physicians, LLC | Physician Assistant | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-03-01 |
| 1225420904 | Kevin Whitney Hutcheson | Nurse Anesthetist, Certified Registered | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2015-03-04 |
| 1124454442 | Mo Cardinals Emergency Physicians, LLC | Emergency Medicine | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2013-09-18 |
| 1912253865 | L Billy Woundcare LLC | Surgery | 3933 S Broadway, Limb Preservation Center, Saint Louis, MO 63118-4601 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861738304 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 10016 Office Center Ave, Suite 100a, Saint Louis, MO 63128-1468 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124120993 | Nancy Knackendoffel Dold | Spec/Tech, Cardiovascular | 6400 Prospect Ave Ste 546, Kansas City, MO 64132-4133 | 2006-09-02 |
| 1407113517 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 6501 E Commerce Ave, Suite 170a, Kansas City, MO 64120-2171 | 2012-04-13 |
| 1346461100 | Mobile Ultrasound Services, LLC | Spec/Tech, Cardiovascular | 2913 Sw Bridlewood Cir, Lees Summit, MO 64081-2473 | 2007-05-01 |
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on GOMELB VASCULAR CONSULTANTS LLC.
| 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.