Dr. Justin Marinus Vader
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
4921 Parkview Pl Div Im Cardiology, Ste 8a
Saint Louis
, Missouri 63110-1032
Dr. Justin Marinus Vader
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
4921 Parkview Pl Div Im Cardiology, Ste 8a
Saint Louis
, Missouri 63110-1032
(314) 362-4278
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Justin Marinus Vader
- 660 S Euclid Ave Cb 8086
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 362-4278
- Phone : (314) 362-1291
Second Address
- Dr. Justin Marinus Vader
- 4921 Parkview Pl Div Im Cardiology, Ste 8a
- Saint Louis, MO
- Zip : 63110-1032
- Fax : (314) 454-8855
- Phone : (314) 362-1291
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2010003279 | MO |
| N | 111NI0900X | Internist | 2010003279 | MO |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2010003279 | MO |
| N | 207RC0000X | Internist - Cardiovascular Disease | 2010003279 | MO |
National Provider Identifier
| NPI | 1487864138 |
|---|---|
| Provider Name | Dr. Justin Marinus Vader |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Saint Louis, MO 63110-1032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200013651 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.