DR. LJILJANA BOGUNOVIC


Address: 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032
Phone: 3147472500

DR. LJILJANA BOGUNOVIC (NPI# 1821227406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821227406
Entity Type Individual
Full Name DR. LJILJANA BOGUNOVIC
Credential MD
Practice Address 4921 Parkview Pl
Ste 6a/6b/12a
Saint Louis
MO 63110-1032
Mailing Address 660 S Euclid Ave
Cb 8233
Saint Louis
MO 63110-1010
Practice Telephone 3147472500
Practice Fax Number 3147472598
Mailing Telephone 3145143500
Mailing Fax Number 3147472598
Enumeration Date 2009-07-05
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
2015013276 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 20023577 05
IL ENROLLED 05

Office Location

Street Address 4921 PARKVIEW PL
STE 6A/6B/12A
City SAINT LOUIS
State MO
Zip Code 63110-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576359 Peter D Weiss Internal Medicine 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 2005-05-24
1881291284 Brandy R Boyle Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-10-08
1225635527 Faith Fields Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-10-08
1912528100 Kaitlin J Portz Psychologist 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-04-29
1437785979 Jodi Granger Internal Medicine 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-03-17
1174159701 Grace Catherine Keane Student in an Organized Health Care Education/Training Program 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-03-16
1740828581 Michelle Anne Maurer Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2019-12-11
1205472487 Sarah Bohme Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2019-11-21
1972145787 Emily Sarah Cherry Nurse Practitioner 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 2019-10-14
1871144832 Sara Ranae Kellahan Nurse Practitioner 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 2019-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912394958 Joseph Jared Guth Orthopaedic Surgery 660 S Euclid Ave, Saint Louis, MO 63110-1010 2015-04-16
1710244512 Diana Choate Patterson Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2012-04-18
1043535438 Scott Albert Simpson Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2010-03-29
1194950451 St. Louis Sports Health, LLC Orthopaedic Surgery 1000 Des Peres Rd, Suite 325, Saint Louis, MO 63131-2050 2009-05-15
1710129630 Laura Christine Depalma Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2009-03-25
1588821334 Vaibhav V Ardhan Maheshwari Orthopaedic Surgery 4921 Parkview Pl, Ste A and B 6th Floor, Saint Louis, MO 63110-1032 2008-05-20
1740470434 Joy Lynn English Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2007-07-28
1508066317 Terra Rupert Blatnik Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2007-07-19
1457567430 Matthew Vernon Smith Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2007-05-15
1861610743 Julienne Lippe Orthopaedic Surgery 12855 N 40 Dr, Suite 125 North Tower, Saint Louis, MO 63141-8657 2007-04-23
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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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