Jack Roh Oak, MD

Vascular Surgery Physician · Bridgeton, MO

Individual Active NPI

NPI number 1326269648

Practice location

12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone
(314) 770-0991

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NPI record

NPI
1326269648
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
August 1, 2023
Certified
August 1, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Vascular Surgery Physician Primary 2086S0129X 2003009197 MO

Mailing address

660 S Euclid Ave
MSC 8109-05-04
Saint Louis, MO 63110-1010
Phone
(314) 991-4644
Fax
(314) 991-4910

Other practice locations (1)

  • 555 N New Ballas Rd, Div Surg Vascular, Ste 265, Saint Louis, MO 63141-6825 · (314) 991-4644

About Dr. Oak

Jack Roh Oak, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Surgery Physician (code 2086S0129X). The practice location is 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514. The NPI number 1326269648 was assigned on May 2, 2007 and the record was last updated on August 1, 2023.

Dr. Oak lists a license in the registry: #2003009197 (MO) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Roh Oak, MD?

The NPI number is 1326269648.

What is the phone number of Dr. Oak?

The phone number listed for the practice location is (314) 770-0991.

Where is Dr. Oak located?

12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514.

What is the taxonomy code for Dr. Oak?

The primary taxonomy code is 2086S0129X – Vascular Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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