ST LOUIS UNIVERSITY


Address: 3660 Vista Ave, Saint Louis, MO 63110-2540
Phone: 3149775110

ST LOUIS UNIVERSITY (NPI# 1023220910) 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) 1023220910
Entity Type Organization
Organization Name ST LOUIS UNIVERSITY
Other Organization Name SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY
Practice Address 3660 Vista Ave
Saint Louis
MO 63110-2540
Mailing Address 1831 Chestnut St Ste 650
Saint Louis
MO 63103-2236
Practice Telephone 3149775110
Mailing Telephone 3149776828
Enumeration Date 2007-05-04
Last Update Date 2019-06-21
Authorized Official Name ALYCE LANXON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3149776828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SLUCARE DEPT OF OTOLARYNGOLOGY-FACIAL PLASTIC SURGERY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487869863 St Louis University Eyewear Supplier (Equipment, not the service) 1755 South Grand, St Louis, MO 63104 2007-05-11
1194892463 St Louis University Orthopaedic Surgery 1831 Chestnut St Ste 650, Saint Louis, MO 63103 2006-11-29
1093894842 St Louis University Internal Medicine 10 Franklin, Washington, MO 63090 2006-11-03
1417035759 St Louis University Audiologist 3750 Lindell, St Louis, MO 63108 2006-11-02
1992778237 St Louis University Urology 3655 Vista Ave, Saint Louis, MO 63110-2539 2006-02-08
1164495412 St Louis University Pathology 1402 South Grand, St Louis, MO 63104 2006-02-08
1801869136 St Louis University Psychiatry & Neurology 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2006-02-08
1740253095 St Louis University Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2006-02-08
1184266413 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2019-10-08
1184908865 St Louis University Urology 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2011-09-29

Office Location

Street Address 3660 VISTA AVE
City SAINT LOUIS
State MO
Zip Code 63110-2540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871582692 Alan P K Wild Otolaryngology 3660 Vista Ave, Ste. 312, Saint Louis, MO 63110 2005-10-14
1922627207 Emily Bayliss Worrall Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-16
1508485988 Jackson Jeffrey Meland Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1316566748 Katherine Elizabeth Oberhelman Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1063031664 Elizabeth Jane De Quetteville Robin Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1053930586 Tim Brotherton Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1285253328 Eugene Chiemeka Nwankwo Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-09
1124647318 Christian Hendrix Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-08
1851920730 Kellen J Smutz Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
1487283172 Abhinav Reddy Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730170507 Frank Simo Otolaryngology 10448 Old Olive Street Rd Ste 200, Saint Louis, MO 63141-5927 2005-11-02
1265436711 Robert Daniel Craig Otolaryngology 777 S New Ballas Rd, Ste 320e, Saint Louis, MO 63141-8789 2005-06-10
1598892838 William H Friedman Otolaryngology 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2330 2007-02-27
1396810982 Nayak Plastic Surgery, P.C. Otolaryngology 607 S Lindbergh Blvd, Saint Louis, MO 63131-2734 2006-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619057064 Justin W. Roberts Otolaryngology 501 West Pine Street, Farmington, MO 63640 2006-10-17
1215938550 Anthony Joseph D'angelo Jr. Otolaryngology 2315 Dougherty Ferry Road, Suite 103, St. Louis, MO 63122 2005-08-09
1154520757 Nathan Seth Box Otolaryngology 1331 W 32nd St, Joplin, MO 64804-1601 2007-07-13
1609925809 Tamara Kay Ehlert Otolaryngology 522 N New Ballas Rd, Suite 300, Creve Coeur, MO 63141-6857 2007-01-09
1104911288 Ear Nose & Throat & Plastic Surg Inc Otolaryngology 2315 Dougherty Ferry Road, Ste. 103, St. Louis, MO 63122 2006-10-04
1205825031 Richard W Maack Otolaryngology 226 S Woods Mill Rd, Suite 37 West, Chesterfield, MO 63017-3662 2005-10-14
1386645463 Richard Lee Barnes Otolaryngology 2315 Dougherty Ferry Road, Ste. 103, St. Louis, MO 63122 2005-08-10

Competitor

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City SAINT LOUIS
Zip Code 63110

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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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