SLUCare Dept of Otolaryngology-Pediatric – Pediatric Otolaryngology Physician, NPI 1083832364

SLUCare Dept of Otolaryngology-Pediatric is a healthcare provider. based in Saint louis, Missouri. specializing in Pediatric Otolaryngology Physician. The NPI Number for SLUCare Dept of Otolaryngology-Pediatric is 1083832364

Main info

Organization
Name
SLUCare Dept of Otolaryngology-Pediatric
NPI
1083832364
Phone
(314) 977-6828
Address
1831 CHESTNUT ST STE 650
Authorized Official
ALYCE LANXON EXECUTIVE DIRECTOR
Enumeration Date
23 April 2007
Last Update Date
21 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for SLUCare Dept of Otolaryngology-Pediatric

  • 1831 CHESTNUT ST STE 650

    SAINT LOUIS, MO 631032236

    Phone: (314) 977-6828

    Type: Mailing

  • 3545 LINDELL BLVD FL 3

    SAINT LOUIS, MO 631031020

    Phone: (314) 977-6828

    Type: Mailing

  • 1465 S GRAND BLVD

    SAINT LOUIS, MO 631041003

    Phone: (314) 577-5650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63103)

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Frequently asked questions

Is there an official ID for SLUCare Dept of Otolaryngology-Pediatric in U.S. healthcare records?
The official identifier for SLUCare Dept of Otolaryngology-Pediatric is NPI 1083832364.
Is SLUCare Dept of Otolaryngology-Pediatric shown as active in public data?
Registry records indicate SLUCare Dept of Otolaryngology-Pediatric maintains an active NPI.
What expertise is attributed to SLUCare Dept of Otolaryngology-Pediatric?
SLUCare Dept of Otolaryngology-Pediatric's specialty line reads Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SLUCare Dept of Otolaryngology-Pediatric?
Travel planning: use Saint Louis, Missouri as the reference point for SLUCare Dept of Otolaryngology-Pediatric, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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