SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY – NPI #1023220910
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY is an otolaryngologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1023220910 to SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is ST LOUIS UNIVERSITY. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 5 years ago on Sep 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY below.

NPI Profile for
ST LOUIS UNIVERSITY

NPI Number
1023220910
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LOUIS UNIVERSITY
Doing Business As (dba): SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY
Primary location
1225 SOUTH GRAND
GL, DOOR 3
SAINT LOUIS, MO 63104-6310
Phone: (314) 977-5119 Fax:
1 Other location(s):
3660 Vista Ave
Saint Louis, MO 63110-2540
Phone: (314) 977-5110
Mailing address
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 63103-1020
Phone: (314) 977-6828 Fax:
Organization Subpart
No
Authorized Official
ALYCE LANXON
EXECUTIVE DIRECTOR
Phone: (314) 977-6828
Updated
Certification Date
Sep 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.