| St. Louis Vascular Surgical Specialists Pc | |
|
1901 Hrc Plaza Dr Lake St Louis MO 63367-2360 | |
| (314) 755-1084 | |
| (314) 755-1184 |
| Full Name | St. Louis Vascular Surgical Specialists Pc |
|---|---|
| Speciality | Surgery |
| Location | 1901 Hrc Plaza Dr, Lake St Louis, Missouri |
| Authorized Official Name and Position | Robert Ivan Hacker (CEO OWNER) |
| Authorized Official Contact | 3147551084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Vascular Surgical Specialists Pc 1901 Hrc Plaza Dr Lake St Louis MO 63367-2360 Ph: (314) 755-1084 | St. Louis Vascular Surgical Specialists Pc 1901 Hrc Plaza Dr Lake St Louis MO 63367-2360 Ph: (314) 755-1084 |
| NPI Number | 1477246312 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 06/05/2026 |
| Medicare PECOS PAC ID | 9739548991 |
|---|---|
| Medicare Enrollment ID | O20230706000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477246312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Marshall Salvatore Grillo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730114448 PECOS PAC ID: 8022016799 Enrollment ID: I20141203000180 |
| Provider Name | Robert Hacker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295985554 PECOS PAC ID: 1254556855 Enrollment ID: I20190409000373 |
| Provider Name | Rachel Louise Closser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205411535 PECOS PAC ID: 5395144513 Enrollment ID: I20210520000923 |
| Provider Name | Deena Chihade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104113802 PECOS PAC ID: 9537692454 Enrollment ID: I20241031000855 |
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