Midwest Otologic Group, P.C. in Saint Louis - Otology & Neurotology
Midwest Otologic Group, P.C. - NPI 1053472092
Midwest Otologic Group, P.C. is a Otology & Neurotology in Saint Louis, Missouri. Midwest Otologic Group, P.C. practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Midwest Otologic Group, P.C. is 1053472092. The last update date is 2007-11-09.
Midwest Otologic Group, P.C.'s current location address is 621 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144325151 and fax number 3144328795. The mailing address for Midwest Otologic Group, P.C. is 621 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Otologic Group, P.C. |
|---|---|
| Address | 621 S New Ballas Rd, Saint Louis, Missouri |
| Phone Number | 3144325151 |
| Fax Number | 3144328795 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith Gaillard Peter |
| Credentials | MD, PHD |
| Telephone Number | 3144325151 |
NPI Number Detail
| NPI Number | 1053472092 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 621 S New Ballas Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418232 |
| Phone Number | 3144325151 |
| Fax Number | 3144328795 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | MDR8770 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518961440 | PERSONAL NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Midwest Otologic Group, P.C. by the Centers for Medicare & Medicaid Services?
The Midwest Otologic Group, P.C. has been assigned the NPI (National Provider Identifier) 1053472092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Midwest Otologic Group, P.C. located?
The Midwest Otologic Group, P.C. is located at 621 S New Ballas Rd, Saint Louis, MO 631418232.
What is Midwest Otologic Group, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Midwest Otologic Group, P.C. is Otology & Neurotology, and the taxonomy code that categorizes this field of expertise is 207Yx0901X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053472092 to Midwest Otologic Group, P.C.?
The Midwest Otologic Group, P.C. received its 1053472092 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date was the information pertaining to Midwest Otologic Group, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Midwest Otologic Group, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-09.