ST. LOUIS THORACIC AND VASCULAR INC
NPI 1639204696
Specialist in Saint Louis, MO

Q: What is St. Louis Thoracic And Vascular Inc's NPI number?

The NPI number for St. Louis Thoracic And Vascular Inc is 1639204696. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is St. Louis Thoracic And Vascular Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 22, 2007

10004 KENNERLY RD STE 186B, SAINT LOUIS, MO 63128(314) 543-5939(314) 543-5954 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Louis Thoracic And Vascular Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LOUIS THORACIC AND VASCULAR INC (NPI 1639204696) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since February 2007. The organization lists Russell Robert Kraeger, Owner, as its authorized official.

NPPES Registry Identity

NPI1639204696

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameST. LOUIS THORACIC AND VASCULAR INC

Location Address10004 KENNERLY RD STE 186BSaint Louis, MO 63128-2176

Mailing Address10004 Kennerly Rd, Sutie 186bSaint Louis, MO 63128-2141 · (314) 543-5939

Phone(314) 543-5939

Fax(314) 543-5954

Organization SubpartNo

Authorized OfficialRussell Robert KraegerOwner · (314) 543-5939

Enumeration DateFebruary 22, 2007

Last NPPES UpdateMay 4, 2009

✔ NPI 1639204696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 31077

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10004 KENNERLY RD STE 186B, Saint Louis, MO 63128

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Other Identifiers 2

Medicaid501942809MO

Medicare ID-Type Unspecified000013026MO · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCPHERSON MEDICAL & DIAGNOSTIC, LLC

Clinic/Center

10004 KENNERLY RD STE 186B
SAINT LOUIS, MO 63128

St. Louis County (314) 549-5011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Louis Thoracic And Vascular Inc's NPI number?

The NPI number for St. Louis Thoracic And Vascular Inc is 1639204696. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is St. Louis Thoracic And Vascular Inc located?

St. Louis Thoracic And Vascular Inc is located at 10004 Kennerly Rd Ste 186B, Saint Louis, MO 63128. The listed phone number is (314) 543-5939.

What is St. Louis Thoracic And Vascular Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St. Louis Thoracic And Vascular Inc was last updated on May 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.