EAR NOSE & THROAT & PLASTIC SURG INC; NPI #1104911288

Contact Information

EAR NOSE & THROAT & PLASTIC SURG INC

2325 DOUGHERTY FERRY RD STE 106
SAINT LOUIS, MO 63122-3356

Phone: 314-821-5002
Fax: 314-821-5029
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Facial Plastic Surgery	207YS0123X	04	Physician/Otolaryngology

Indicates primary specialty

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NPI Profile & details for EAR NOSE & THROAT & PLASTIC SURG INC

NPI # 1104911288

LBN Legal business name EAR NOSE & THROAT & PLASTIC SURG INC

Authorized official RICHARD BARNES - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2006

Last updated 10/09/2025 - About 8 months ago

Identifiers

MO	Medicaid	502754401
MO	Other	040003579	MEDICARE RAILROAD
MO	Other	040010750	MEDICARE RAILROAD
MO	Other	040017959	MEDICARE RAILROAD
MO	Other	CP2222	MEDICARE RAILROAD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EAR NOSE & THROAT & PLASTIC SURG INC

Contact Information

Specialty

Facial Plastic Surgery

NPI Profile & details for EAR NOSE & THROAT & PLASTIC SURG INC

Reviews for EAR NOSE & THROAT & PLASTIC SURG INC