Organization
Ear Nose & Throat & Plastic Surg Inc
Provider's NPPES record last updated: October 9, 2025
Overview
- Entity Type
- Organization
- NPI
- 1104911288
- Primary Specialty
- Otolaryngology — Facial Plastic Surgery
- Practice Location
- Saint Louis, Missouri
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:44 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Otolaryngology
Facial Plastic Surgery
Allopathic & Osteopathic Physicians
An otolaryngologist who specializes in facial plastic surgery.
Taxonomy code 207YS0123X
Practice Locations
Practice Location
2325 Dougherty Ferry Rd Ste 106
Saint Louis, Missouri 63122-3356
Phone: (314) 821-5002
Additional Practice Location
12277 Depaul Dr Ste 303
Bridgeton, Missouri 63044-2529
Phone: (314) 821-5002
Fax: (314) 821-8029
Additional Practice Location
4800 Mexico Rd Ste 103
Saint Peters, Missouri 63376-1666
Phone: (314) 821-5002
Fax: (314) 821-5029
Record Information
- Enumeration Date
- October 4, 2006
- Provider's NPPES Record Last Updated
- October 9, 2025
- Certification Date
- October 9, 2025
- NPISignal NPPES Dataset
- August 2026
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