| John C Vandover, MD | |
|
525 Couch Ave, Kirkwood, MO 63122-5536 | |
| (314) 966-1500 | |
| (314) 966-1681 |
| Full Name | John C Vandover |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 525 Couch Ave, Kirkwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376583393 | NPI | - | NPPES |
| P00273311 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2004001492 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Vandover, MD 1836 Lackland Hill Pkwy, Attention: Credentialing Department, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | John C Vandover, MD 525 Couch Ave, Kirkwood, MO 63122-5536 Ph: (314) 966-1500 |
James H Donnell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Mark A Mason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Robert J Paino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Strupel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Gaetano Venezia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Jonas V Grybinas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 |