EAR NOSE & THROAT & PLASTIC SURG INC – NPI #1104911288
Otolaryngology
An otolaryngologist who specializes in facial plastic surgery.
EAR NOSE & THROAT & PLASTIC SURG INC is an otolaryngologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1104911288 to EAR NOSE & THROAT & PLASTIC SURG INC on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 last updated on Oct 09, 2025. 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 EAR NOSE & THROAT & PLASTIC SURG INC below.
NPI Profile for
EAR NOSE & THROAT & PLASTIC SURG INC
(more than 19 years ago)
SAINT LOUIS, MO 63122-3356 Phone: (314) 821-5002 Fax: (314) 821-5029
2 Other location(s):
Bridgeton, MO 63044-2529
Phone: (314) 821-5002
Fax: (314) 821-8029
Saint Peters, MO 63376-1666
Phone: (314) 821-5002
Fax: (314) 821-5029
PRESIDENT
Phone: (314) 821-5002
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.
Identifiers for EAR NOSE & THROAT & PLASTIC SURG INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICARE RAILROAD | MO | 040010750 |
| other | MEDICARE RAILROAD | MO | 040017959 |
| other | MEDICARE RAILROAD | MO | CP2222 |
| other | MEDICARE RAILROAD | MO | 040003579 |
| medicaid | MO | 502754401 |
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) |
MO |
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.