Washington University, Department Of Otolaryngology | |
660 S Euclid Ave Saint Louis MO 63110-1010 | |
(314) 996-3845 | |
(314) 362-9101 |
Full Name | Washington University, Department Of Otolaryngology |
---|---|
Speciality | Clinic/Center |
Location | 660 S Euclid Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Cathy L Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
Authorized Official Contact | 3142730770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Washington University, Department Of Otolaryngology 7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 Ph: (314) 273-0770 | Washington University, Department Of Otolaryngology 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 996-3845 |
NPI Number | 1356381842 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 06/13/2016 |
Medicare PECOS PAC ID | 9830008770 |
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Medicare Enrollment ID | O20041013000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356381842 | NPI | - | NPPES |
10-01999 | Other | MO | UHC GROUP NUMBER |
552944902 | Medicaid | MO | |
673341 | Other | MO | AETNA HMO GROUP |
0001732 | Other | MO | SPECIAL HEALTH CARE NEEDS |
108RP5 | Other | MO | BLUE SHIELD BILLING CODE |
552944902 | Other | MO | MEDICAID PHARMACY NUMBER |
3809 | Other | MO | GHP MASTER VENDOR |
610916400 | Other | MO | DEPARTMENT OF LABOR |
92209439 | Other | IL | BLUE SHIELD |
0255860008 | Other | MO | DME MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Jacques A Herzog |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1255330650 PECOS PAC ID: 5890747984 Enrollment ID: I20050217000085 |
Provider Name | Gregory H Branham |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1477571198 PECOS PAC ID: 8921043381 Enrollment ID: I20050627000102 |
Provider Name | Keiko Hirose |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1376506287 PECOS PAC ID: 4789772492 Enrollment ID: I20080121000241 |
Provider Name | Margaret A Ogden |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1538372800 PECOS PAC ID: 3779662093 Enrollment ID: I20080512000186 |
Provider Name | Brenda G Gotter |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1033240676 PECOS PAC ID: 4284709437 Enrollment ID: I20080822000057 |
Provider Name | Karen M Mispagel |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1568648103 PECOS PAC ID: 2365517547 Enrollment ID: I20080822000346 |
Provider Name | Belinda C Sinks |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1659535599 PECOS PAC ID: 8921173931 Enrollment ID: I20080826000240 |
Provider Name | Misty D Vogt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346226867 PECOS PAC ID: 3274609755 Enrollment ID: I20080908000032 |
Provider Name | Susan L Rathgeb |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1124153705 PECOS PAC ID: 2062588205 Enrollment ID: I20080911000522 |
Provider Name | Carolyn A Bequette |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1528215852 PECOS PAC ID: 0143396382 Enrollment ID: I20080911000529 |
Provider Name | Jennifer Listenberger |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1740474055 PECOS PAC ID: 8022185883 Enrollment ID: I20080919000139 |
Provider Name | Lisa G Potts |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1114043866 PECOS PAC ID: 1052488491 Enrollment ID: I20080926000068 |
Provider Name | Laura K Holden |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1851505929 PECOS PAC ID: 3577630979 Enrollment ID: I20080926000598 |
Provider Name | Amanda J Ortmann |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1275633422 PECOS PAC ID: 2860549052 Enrollment ID: I20090403000317 |
Provider Name | Steven P Smith |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1720139397 PECOS PAC ID: 5698823011 Enrollment ID: I20090423000192 |
Provider Name | Judy L Peterein |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1376725457 PECOS PAC ID: 6709934656 Enrollment ID: I20090501000384 |
Provider Name | Sallie A Vanderhoof |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1376756551 PECOS PAC ID: 5294886206 Enrollment ID: I20090706000039 |
Provider Name | Andrew J Drescher |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1831291343 PECOS PAC ID: 1153476312 Enrollment ID: I20090911000492 |
Provider Name | Gerald W Moritz |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1154418424 PECOS PAC ID: 5092857235 Enrollment ID: I20100126000431 |
Provider Name | Randal C Paniello |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1215955711 PECOS PAC ID: 3870628662 Enrollment ID: I20100318000480 |
Provider Name | Jay F Piccirillo |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1124059647 PECOS PAC ID: 0042345837 Enrollment ID: I20100318000503 |
Provider Name | Judith E Lieu |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1336165646 PECOS PAC ID: 4587799382 Enrollment ID: I20100318000518 |
Provider Name | Margaret A Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689691115 PECOS PAC ID: 9739216862 Enrollment ID: I20100422000184 |
Provider Name | Alison M Brockmeyer |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1710299714 PECOS PAC ID: 4688869282 Enrollment ID: I20101109000716 |
Provider Name | David W Molter |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1396762803 PECOS PAC ID: 7517135155 Enrollment ID: I20110726000224 |
Provider Name | Noel Dwyer |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1740563345 PECOS PAC ID: 2567637127 Enrollment ID: I20111208000840 |
Provider Name | Jason T Rich |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1417927153 PECOS PAC ID: 2466609896 Enrollment ID: I20120820001071 |
Provider Name | Maithilee D Menezes |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1730398124 PECOS PAC ID: 3870649361 Enrollment ID: I20120926000683 |
Provider Name | David Seamus Leonard |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1740444041 PECOS PAC ID: 1557420379 Enrollment ID: I20121103000092 |
Provider Name | John J Chi |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1689872368 PECOS PAC ID: 7517122450 Enrollment ID: I20130725000064 |
Provider Name | John S Schneider |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1891951307 PECOS PAC ID: 0345497103 Enrollment ID: I20130916000387 |
Provider Name | Rachael Mangiore |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1396186573 PECOS PAC ID: 1759515687 Enrollment ID: I20131009000682 |
Provider Name | Joseph Bradley |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1639330244 PECOS PAC ID: 8921245952 Enrollment ID: I20140529001333 |
Provider Name | Linda A Neal |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1609000959 PECOS PAC ID: 0042433658 Enrollment ID: I20140529002028 |
Provider Name | Andrea Gregg |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1245343847 PECOS PAC ID: 6800010687 Enrollment ID: I20140618000196 |
Provider Name | Jennifer V Brinkmeier |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1487859047 PECOS PAC ID: 6002062247 Enrollment ID: I20141219001294 |
Provider Name | Kelsey M Rosenquist |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467843334 PECOS PAC ID: 0042538324 Enrollment ID: I20150416002165 |
Provider Name | Ryan S Jackson |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1710114582 PECOS PAC ID: 5799900346 Enrollment ID: I20150727001562 |
Provider Name | Patrik Pipkorn |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1437565819 PECOS PAC ID: 1153549217 Enrollment ID: I20150826002676 |
Provider Name | Megan E Radder |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1922499938 PECOS PAC ID: 6103133780 Enrollment ID: I20150915000589 |
Provider Name | Craig A Buchman |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1538260120 PECOS PAC ID: 1850423831 Enrollment ID: I20151002001084 |
Provider Name | Katherine Ann Dunsky |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1649584616 PECOS PAC ID: 3476841214 Enrollment ID: I20161012000141 |
Provider Name | Lydia M Beyer |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1700330214 PECOS PAC ID: 0749568459 Enrollment ID: I20161101001313 |
Provider Name | Alison C Hunt |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1891248852 PECOS PAC ID: 5991092918 Enrollment ID: I20170626002272 |
Provider Name | Cameron C Wick |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1063737799 PECOS PAC ID: 8022257310 Enrollment ID: I20170801002831 |
Provider Name | Cristine Nicole Klatt-cromwell |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1407147150 PECOS PAC ID: 0840599833 Enrollment ID: I20170803000568 |
Provider Name | Adam H Voss |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1508396508 PECOS PAC ID: 5092087528 Enrollment ID: I20170818000428 |
Provider Name | Cathryn Collopy |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1437656550 PECOS PAC ID: 1557618618 Enrollment ID: I20180719003209 |
Provider Name | Emily Anne Spataro |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1750645503 PECOS PAC ID: 8426325135 Enrollment ID: I20180831000360 |
Provider Name | Allison R Schwed |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1336633494 PECOS PAC ID: 0840542536 Enrollment ID: I20181008002057 |
Provider Name | Sidharth V Puram |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1568800183 PECOS PAC ID: 3971732652 Enrollment ID: I20190521000913 |
Provider Name | Nedim Durakovic |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1235492372 PECOS PAC ID: 0244469484 Enrollment ID: I20190607001592 |
Provider Name | Margaret N Huston |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1487996146 PECOS PAC ID: 1658665153 Enrollment ID: I20190726002892 |
Provider Name | Andrea L Hanick |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1013304914 PECOS PAC ID: 0648695668 Enrollment ID: I20200728000584 |
Provider Name | Jessica E Mackimm |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1932754306 PECOS PAC ID: 6507281045 Enrollment ID: I20200731000418 |
Provider Name | Nyssa Fox Farrell |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1700205630 PECOS PAC ID: 6800111568 Enrollment ID: I20200806002875 |
Provider Name | Andrew Bluher |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1659790525 PECOS PAC ID: 4183924582 Enrollment ID: I20201007000297 |
Provider Name | Rajan P Dang |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1114377546 PECOS PAC ID: 6901205582 Enrollment ID: I20210602001135 |
Provider Name | Matthew Shew |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1144630062 PECOS PAC ID: 1951607670 Enrollment ID: I20210618001298 |
Provider Name | Hillary Newsome |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1932562667 PECOS PAC ID: 7517221989 Enrollment ID: I20210714002856 |
Provider Name | Grace Mckinnon Cutchin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689285165 PECOS PAC ID: 5395148837 Enrollment ID: I20210721003837 |
Provider Name | Laronda M Cutts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053930313 PECOS PAC ID: 3476951260 Enrollment ID: I20211008000457 |
Provider Name | Lauren Tashima Roland |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1790072460 PECOS PAC ID: 2769611094 Enrollment ID: I20220104000345 |
Provider Name | Ray Yiqing Wang |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1730610379 PECOS PAC ID: 6103204748 Enrollment ID: I20220609001821 |
Provider Name | Robert Cristel |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1568999001 PECOS PAC ID: 1759656473 Enrollment ID: I20220615001135 |
Provider Name | Shannon Marie Lefler |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1043719404 PECOS PAC ID: 3173902814 Enrollment ID: I20220627000687 |
Provider Name | Matthew Lee Rohlfing |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1063874238 PECOS PAC ID: 0648565978 Enrollment ID: I20220728002461 |
Provider Name | Lauren English |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1740727833 PECOS PAC ID: 2668729138 Enrollment ID: I20220802002438 |
Provider Name | Courtney Lynn Kroeger |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1447807672 PECOS PAC ID: 5799169272 Enrollment ID: I20220901000870 |
Provider Name | Miranda Lindburg |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1801316963 PECOS PAC ID: 3274917547 Enrollment ID: I20220906001329 |
Provider Name | Marie Fleming |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1942921069 PECOS PAC ID: 7719362003 Enrollment ID: I20220922003340 |
Provider Name | Molly Elaine Heft Neal |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1457700825 PECOS PAC ID: 8426348079 Enrollment ID: I20230616003262 |
Provider Name | Zaid Al Qurayshi |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1962857128 PECOS PAC ID: 5294027470 Enrollment ID: I20230706001287 |
Provider Name | Tara E Mokhtari |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1477083814 PECOS PAC ID: 7719234731 Enrollment ID: I20230717003107 |
Provider Name | Sai Deepika Challapalli |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1558852772 PECOS PAC ID: 9739540840 Enrollment ID: I20230804000893 |
Provider Name | Eric Barbarite |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1215463765 PECOS PAC ID: 1456620541 Enrollment ID: I20230804001206 |
Provider Name | Nicole Collins |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861168114 PECOS PAC ID: 0749636801 Enrollment ID: I20231025002221 |
Provider Name | Richard Alexander Harbison |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1114361789 PECOS PAC ID: 0840507497 Enrollment ID: I20231101000324 |
Provider Name | Kiley C Hughes |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1417366006 PECOS PAC ID: 0042667081 Enrollment ID: I20231113001349 |
Provider Name | Paul Aaron Zolkind |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1770922759 PECOS PAC ID: 3870722010 Enrollment ID: I20231213003704 |
Provider Name | Richard Benjamin Speaker |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1679015168 PECOS PAC ID: 7214374685 Enrollment ID: I20240320003329 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |