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DR. ROGER V. VARDELEON M.D.
NPI 1972613826
Surgery in Saint Louis, MO

Active since August 30, 2006
327 CONWAY LAKE DR, SAINT LOUIS, MO 63141(314) 576-4042(314) 576-4042 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Roger V. Vardeleon M.d. NPPES

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

DR. ROGER V. VARDELEON M.D. (NPI 1972613826) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (R4094) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972613826
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROGER V. VARDELEONCredential: M.D.
Location Address327 CONWAY LAKE DRSaint Louis, MO 63141-8114
Mailing Address327 Conway Lake DrSaint Louis, MO 63141-8114 · (314) 576-4042 · Fax (314) 576-4042
Phone(314) 576-4042
Fax(314) 576-4042
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1972613826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · R4094
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
327 CONWAY LAKE DR, Saint Louis, MO 63141
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Other Identifiers 3

Medicare UPINA25416MO
Medicare ID-Type Unspecified000003480MO
Medicaid200138915MO

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 Roger Vardeleon's NPI number?

The NPI number for Roger Vardeleon is 1972613826. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Roger Vardeleon located?

Roger Vardeleon practices at 327 Conway Lake Dr, Saint Louis, MO 63141. The listed phone number is (314) 576-4042.

What is Roger Vardeleon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Roger Vardeleon was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.