Harvey Serota (NPI# 1346264017, PAC ID# 2163325572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1346264017 |
| PAC ID by PECOS | 2163325572 |
| Professional Enrollment ID | I20041106000131 |
| Full Name | Harvey Serota |
| Organization Legal Name | CARDIAC CIN OF ST LOUIS LLC |
| Address |
615 S New Ballas Rd Saint Louis MO 63141-8221 |
| Phone Number | 6153860064 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1557624145 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 260104 | SSM DEPAUL HEALTH CENTER |
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Madison Ave, Granite City, IL 62040-4713 | 6153860064 | CARDIAC CIN OF ST LOUIS LLC |
| 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 | 3147410911 | ST LOUIS HEART AND VASCULAR PC |
| 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 6153860064 | CARDIAC CIN OF ST LOUIS LLC |
| 400 N Caldwell St, Staunton, IL 62088-1173 | 3147410911 | ST LOUIS HEART AND VASCULAR PC |
| Organization Legal Name | CARDIAC CIN OF ST LOUIS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saulius Kalvaitis | Cardiac Electrophysiology | Cardiac Cin of St Louis LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| George M Kichura | Cardiovascular Disease (cardiology) | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Dennis N Glascock | Cardiac Electrophysiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Rafiq P Ramadan | Interventional Cardiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Gil M Vardi | Interventional Cardiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Sundeep Das | Interventional Cardiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Alok Katyal | Cardiovascular Disease (cardiology) | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Mohammad Tahir | Cardiovascular Disease (cardiology) | Cardiac Cin of St Louis LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Sanjaya Naraya Saheta | Interventional Cardiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Usman Qayyum | Interventional Cardiology | Cardiac Cin of St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Street Address |
615 S NEW BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-8221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Preetham Reddy Muskula | Internal Medicine | Mercy Hospitals East Communities | 615 S New Ballas Rd, Mercy Jfk Clinic, St Louis, MO 63141-8221 |
| Maria L Kertz | Anesthesiology Assistant | Western Anesthesiology Associates Inc | 615 S New Ballas Rd, Dept of Anesthesia, St Louis, MO 63141-8221 |
| Rushaniya A Khairova | Psychiatry | Mercy East Support Services LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Steven Nguyen | Hospitalist | Mercy Hospitals East Communities | 615 S New Ballas Rd, Mercy Jfk Clinic, St Louis, MO 63141-8221 |
| Muddasani B Reddy | Internal Medicine | Mercy Clinic Gastroenterology LLC | 615 S New Ballas Rd, Suite 1200, Saint Louis, MO 63141-8221 |
| Cindy X Zhang | Diagnostic Radiology | West County Radiological Group Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Laura R Thompson | Emergency Medicine | Mercy Hospitals East Communities | 615 S New Ballas Rd, Mercy Hospital St Louis, St Louis, MO 63141-8221 |
| Brian Ho | Anesthesiology Assistant | Western Anesthesiology Associates Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Geeth Sandeep Nadella | Internal Medicine | Mercy Clinic Adult Hospitalists St Louis LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Laheart Marie Rodney | Anesthesiology Assistant | Western Anesthesiology Associates Inc | 615 S New Ballas Rd, Dept of Anesthesia, St Louis, MO 63141-8221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SAINT LOUIS + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Harvey Serota.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.