Ear Nose & Throat & Plastic Surg Inc in St. Louis - Facial Plastic Surgery
Ear Nose & Throat & Plastic Surg Inc - NPI 1104911288
Ear Nose & Throat & Plastic Surg Inc is a Facial Plastic Surgery in St. Louis, Missouri. Ear Nose & Throat & Plastic Surg Inc practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Ear Nose & Throat & Plastic Surg Inc is 1104911288. The last update date is 2022-07-21.
Ear Nose & Throat & Plastic Surg Inc's current location address is 2315 Dougherty Ferry Road, St. Louis, Missouri. You can contact this provider via phone number 3148215002 and fax number 3148215029. The mailing address for Ear Nose & Throat & Plastic Surg Inc is 2315 Dougherty Ferry Road, St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ear Nose & Throat & Plastic Surg Inc |
|---|---|
| Address | 2315 Dougherty Ferry Road, St. Louis, Missouri |
| Phone Number | 3148215002 |
| Fax Number | 3148215029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | D'Angelo Joseph Anthony |
| Credentials | D.O. |
| Telephone Number | 3148215002 |
NPI Number Detail
| NPI Number | 1104911288 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2315 Dougherty Ferry Road |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63122 |
| Phone Number | 3148215002 |
| Fax Number | 3148215029 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40010750 | MO | MEDICARE RAILROAD | |
| CP2222 | MO | MEDICARE RAILROAD | |
| 40017959 | MO | MEDICARE RAILROAD | |
| 40003579 | MO | MEDICARE RAILROAD | |
| 502754401 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ear Nose & Throat & Plastic Surg Inc by the Centers for Medicare & Medicaid Services?
The Ear Nose & Throat & Plastic Surg Inc has been issued the NPI (National Provider Identifier) 1104911288. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ear Nose & Throat & Plastic Surg Inc is geographically located?
The Ear Nose & Throat & Plastic Surg Inc is physically situated at the following location: 2315 Dougherty Ferry Road, St. Louis, MO, 63122.
What is Ear Nose & Throat & Plastic Surg Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ear Nose & Throat & Plastic Surg Inc is Facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Ys0123X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104911288 to Ear Nose & Throat & Plastic Surg Inc?
The Centers for Medicare & Medicaid Services originally issued the 1104911288 to Ear Nose & Throat & Plastic Surg Inc on 2006-10-04.
As of what date were the Ear Nose & Throat & Plastic Surg Inc's details last updated?
The information pertaining to the Ear Nose & Throat & Plastic Surg Inc, including its address, specialty, and other details, was most recently updated on 2022-07-21.