ANDREA LEE HANICK


Address: Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141
Phone: 3149963880

ANDREA LEE HANICK (NPI# 1013304914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013304914
Entity Type Individual
Full Name ANDREA LEE HANICK
Practice Address Facial Plastic Surgery Center
1044 North Mason Road, Mob4, Suite L10
Creve Coeur
MO 63141
Mailing Address Washington University School of Medicine
660 South Euclid Avenue, Cb 8115
Saint Louis
MO 63110
Practice Telephone 3149963880
Mailing Telephone 3143627509
Enumeration Date 2015-04-20
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 2020017655 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
9500 Euclid Ave, Cleveland, OH 441950001 2164442200 2164459409

Office Location

Street Address FACIAL PLASTIC SURGERY CENTER
1044 NORTH MASON ROAD, MOB4, SUITE L10
City CREVE COEUR
State MO
Zip Code 63141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205308871 Head and Neck Surgical Associates of Lees Summit LLC Otolaryngology 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 2018-12-20
1811480601 Omar Ahmad Karadaghy Otolaryngology 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 2018-06-07
1003337809 Andrew John Vanbruggen Otolaryngology 1031 Mcintosh Cir, Joplin, MO 64804-3643 2017-06-30
1972043107 Robert Christopher Loynd Otolaryngology 301 N. 2nd Street, St. Charles, MO 63301 2017-03-07
1649621921 Zachary Farhood Otolaryngology 3635 Vista Ave, 6fdt, St. Louis, MO 63110 2016-06-28
1538510961 Haley Nicole Bray Otolaryngology 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 2016-06-27
1407207319 Jesse Schmid Otolaryngology One Hosital Dr Ma314, Columbia, MO 65212 2016-06-22
1023419405 Arya W Namin Otolaryngology One Hospital Dr Ma314, Columbia, MO 65212 2014-09-04
1740689181 David Sherman Otolaryngology 8350 State Route 30, Dittmer, MO 63023-1909 2014-08-21
1659790525 Andrew Bluher Otolaryngology 1 Childrens Pl Fl 3, Saint Louis, MO 63110-1002 2014-04-08
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City CREVE COEUR
Zip Code 63141

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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