TERENCE M MYCKATYN, MD SAINT LOUIS, MO

Contact Information

TERENCE M MYCKATYN, MD

1020 N MASON RD
DIV SURG PLASTICS, MOB 3 STE 110
SAINT LOUIS, MO 63141-6666

Phone: 314-362-7388
Fax: 833-301-0853
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery
Plastic Surgery Within the Head and Neck	2082S0099X	02	Physician/General Surgery
Surgery of the Hand	2086S0105X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for TERENCE M MYCKATYN · (Male)

NPI #	`1598781718`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/14/2006
Last updated	04/17/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	MO License # 2000173749 MO Medicaid 207820606
Hospital affiliation(s)	BARNES JEWISH HOSPITAL - (Acute Care) ONE BARNES-JEWISH HOSPITAL PLAZA SAINT LOUIS, MO 63110 BARNES-JEWISH WEST COUNTY HOSPITAL - (Acute Care) 12634 OLIVE BOULEVARD CREVE COEUR, MO 63141 MISSOURI BAPTIST MEDICAL CENTER - (Acute Care) 3015 N BALLAS RD TOWN AND COUNTRY, MO 63131

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TERENCE M MYCKATYN, MD – NPI #1598781718Plastic and Reconstructive Surgery

Contact Information

Specialty

Plastic and Reconstructive Surgery

Plastic Surgery Within the Head and Neck

Surgery of the Hand

NPI Profile & details for TERENCE M MYCKATYN · (Male)

Reviews for TERENCE M MYCKATYN

TERENCE M MYCKATYN, MD – NPI #1598781718
Plastic and Reconstructive Surgery