Jason B Vangundy (NPI# 1790746071, PAC ID# 3870624901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790746071 |
| PAC ID by PECOS | 3870624901 |
| Professional Enrollment ID | I20100706000313 |
| Full Name | Jason B Vangundy |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
400 Medical Plz Suite 200 Lake St Louis MO 63367-1417 |
| Phone Number | 6366252662 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 Medical Plz, Suite 200, Lake St Louis, MO 63367-1417 | 6366252662 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
400 MEDICAL PLZ SUITE 200 |
| City | LAKE ST LOUIS |
| State | MO |
| Zip | 63367-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody B Bellard | Orthopedic Surgery | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| James V Beattie | Hematology/oncology | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| Pascale A Salem | Hematology | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| Andrea L Behr | General Surgery | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| Tara Nicole Rognan | Family Medicine | Ssm Medical Group Inc | 400 Medical Plz, Suite 200, Lake St Louis, MO 63367-1417 |
| Ahmareen H Khan | Pulmonary Disease | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| Katherine D Schroer | Nurse Practitioner | Ssm Medical Group Inc | 400 Medical Plz, Suite 200, Lake St Louis, MO 63367-1417 |
| Amanda C Prater | Nurse Practitioner | Ssm Medical Group Inc | 400 Medical Plz, Suite 200, Lake St Louis, MO 63367-1417 |
| Yu S Chen | Radiation Oncology | Ssm Medical Group Inc | 400 Medical Plz, Suite 100, Lake St Louis, MO 63367-1493 |
| Brian M Smith | Family Medicine | Ssm Medical Group Inc | 400 Medical Plz, Suite 200, Lake St Louis, MO 63367-1417 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Sills Powell | Podiatry | 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 | |
| Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Find all physicians in zip 63367 | |||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE ST LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason B Vangundy.
| 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.