MEDICARE: LOUIS V DEANE JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	R4B28	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00635256	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	R4B28	OTHER	MO	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2543303	OTHER	MO	BNDD

General Provider Information

NPI Number	:	1144212630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS V DEANE JR. MD

Provider Business Mailing Address
First Line	:	625 S NEW BALLAS RD
Second Line	:	SUITE 2030
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8253
Country	:	US
Telephone Number	:	314-251-1700
Fax Number	:	314-251-1701

Provider Business Practice Location Address
First Line	:	625 S NEW BALLAS RD
Second Line	:	SUITE 2030
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8253
Country	:	US
Telephone Number	:	314-251-1700
Fax Number	:	314-251-1700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	08/19/2014

Similar Medicare Providers

1295738201 — DR. LOUIS P STICKLEY M.D.
Practice Location Address:

625 S NEW BALLAS RD , STE 2030
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-1700
Practice Fax: 314-251-1701

1730182742 — MERCY CARDIOLOGY LLC
Practice Location Address:

625 S NEW BALLAS RD , STE 2030
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-5830
Practice Fax: 314-251-5803

1578555066 — JOHN T BRUNTS MD
Practice Location Address:

625 S NEW BALLAS RD , SUITE 2030
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-1700
Practice Fax: 314-251-1701

1134111628 — JAMES A STOKES MD
Practice Location Address:

625 S NEW BALLAS RD , SUITE 2030
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-1700
Practice Fax: 314-251-1701

1245222777 — ROBERT P FERRARA MD
Practice Location Address:

625 S NEW BALLAS RD , SUITE 2015
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-1700
Practice Fax: 314-251-5804

1689650988 — DR. GEORGE C. VOURNAS M.D.
Practice Location Address:

625 S NEW BALLAS RD , SUITE 2015
SAINT LOUIS, MO
63141-8253

Practice Phone: 314-251-1700
Practice Fax: 314-251-1701

Directions to “ LOUIS V DEANE JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.