Organization
ST. LOUIS HEART INSTITUTE CARDIOTHORACIC SURGEONS, INC.
Active
Other names
St. Louis Heart Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN M BROWN (OFFICE MANAGER)
(314) 909-0747
Entity
Organization
Contact information
Practice address
4800 MEXICO RD STE 103, SAINT PETERS, MO 63376-1666
(314) 909-0747
(844) 535-9135
Mailing address
4800 MEXICO RD STE 103, SAINT PETERS, MO 63376-1666
(314) 909-0747
(844) 535-9135
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
R5C87
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2003015803
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20060105803
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
R1A72
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R5C87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013935816
NPI GROUP
MO
01
—
1942234331
NPI GORDON KNIGHT
MO
05
—
242527208
—
MO
01
—
990000841
PTAN
MO
Enumeration date
07/18/2006
Last updated
01/04/2019
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