Casey Vickstrom
MD, PHD | Pediatrics | Male
Casey Vickstrom, MD, PHD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Casey Vickstrom is
1 Childrens Pl Ste 3s34, Saint Louis, Missouri - 63110-1002. He can be contacted on phone at
314-454-6006.
Casey Vickstrom is a sole proprietor of his business.
NPI number (Unique professional ID) for Casey Vickstrom is
1154053411 which was assigned by NPPES on 27 Jun, 2022 and it was last updated on 27 Jun, 2022.
Casey Vickstrom license number is
2022022806 for Pediatrics (208000000X) in Missouri.
Casey Vickstrom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Casey Vickstrom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Casey Vickstrom |
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| Credential : | MD, PHD |
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| Gender : | Male |
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Business Address:
Casey Vickstrom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Pl Ste 3s34
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6006 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154053411 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jun, 2022 |
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| Last Updated On : | 27 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Casey Vickstrom are as mentioned. Primary taxonomy code for Casey Vickstrom, MD, PHD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2022022806 | MO |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
BJC | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 1 CHILDRENS PL STE 3S34,
SAINT LOUIS, MO, 63110-1002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Pl Ste 3s34
Saint Louis, MO, 63110-1002
United States |
|---|
Business Location:
Patients can refer following map for directions to
Casey Vickstrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.