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DR. MARK D PACKER MD NPI 1760470686


NPI Information

NPI: 1760470686
Provider Name: DR. MARK D PACKER, MD
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

PECOS Registration: Yes

Address:
607 S NEW BALLAS RD
SUITE 2300
ST LOUIS, MO
ZIP 63141
Phone: (314) 251-6394
Get Directions

DR. Mark D Packer, MD is an otology and neurotology otolaryngology in St Louis, MO with 29 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Mark D Packer, MD NPI is 1760470686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1995

The provider's business location address is:

607 S NEW BALLAS RD
SUITE 2300
ST LOUIS, MO
ZIP 63141-234
Phone: (314) 251-6394
Fax: (314) 251-4235

The NPI 1760470686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 10/13/2005 and was last updated on 7/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist2016009560MISSOURINo
2207Y00000XOtolaryngology2016009560MISSOURINo
3207YX0901XOtolaryngologyOtology & Neurotology2016009560MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1138830043MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.