ANTHONY J. D'ANGELO, JR. D.O. – NPI #1215938550
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

ANTHONY D'ANGELO, JR. is an otolaryngologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1215938550 to ANTHONY D'ANGELO, JR. on August 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 16 years ago on Dec 30, 2009. 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 ANTHONY D'ANGELO, JR. below.

NPI Profile for
ANTHONY J. D'ANGELO, JR.

NPI Number
1215938550
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANTHONY J. D'ANGELO, JR.
Credentials
D.O.
Primary location
2315 DOUGHERTY FERRY ROAD
SUITE 103
SAINT LOUIS, MO 63122
Phone: (314) 821-5002 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for ANTHONY D'ANGELO, JR.

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.

DescriptionIssuerStateIdentifier
MEDICAIDMO242700706
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)
MO R3J23

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.

Additional Information

Affiliations
ANTHONY D'ANGELO, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • SSM HEALTH DEPAUL HOSPITAL ST LOUIS
      12303 DEPAUL DRIVE
      BRIDGETON, MO 63044
    • ST LUKE'S DES PERES HOSPITAL
      2345 DOUGHERTY FERRY ROAD
      SAINT LOUIS, MO 63122
    • ST LUKES HOSPITAL
      232 S WOODS MILL RD
      CHESTERFIELD, MO 63017

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