Michael Mauney
Cardiothoracic Vascular Surgeon
3023 N Ballas Rd Ste 150d
Saint Louis
, Missouri 63131-2319
Michael Mauney
Cardiothoracic Vascular Surgeon
3023 N Ballas Rd Ste 150d
Saint Louis
, Missouri 63131-2319
(314) 432-6068
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Michael Mauney
- 3023 N Ballas Rd Ste 150d
- Saint Louis, MO
- Zip : 63131-2319
- Fax : (314) 432-6068
- Phone : (314) 996-5287
Second Address
- Michael Mauney
- 3023 N Ballas Rd Ste 150d
- Saint Louis, MO
- Zip : 63131-2319
- Fax : (314) 432-6068
- Phone : (314) 996-5287
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2000153647 | MO |
National Provider Identifier
| NPI | 1104937713 |
|---|---|
| Provider Name | Michael Mauney |
| First Address | Saint Louis, MO 63131-2319 |
| Second Address | Saint Louis, MO 63131-2319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 29/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 205181001 | (05) | MO |
| H16813 | (02) |
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.