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WALLACE P BERKOWITZ MD LTD NPI 1952387516


NPI Information

NPI: 1952387516
Provider Name: WALLACE P BERKOWITZ MD LTD
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
6651 CHIPPEWA
STE 324
ST LOUIS, MO
ZIP 63109
Phone: (314) 647-8895
Get Directions

WALLACE P BERKOWITZ MD LTD is an otolaryngology in St Louis, MO. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. WALLACE P BERKOWITZ MD LTD NPI is 1952387516. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6651 CHIPPEWA
STE 324
ST LOUIS, MO
ZIP 63109-538
Phone: (314) 647-8895
Fax: (314) 647-8898

The provider's authorized official is Wallace P Berkowitz .
The authorized official title is President Owner and has the following contact phone number (314) 647-8895.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 4/20/2008.


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
1207Y00000XOtolaryngologyR4234MISSOURINo
2207Y00000XOtolaryngologyILLINOISYes

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
1=========004OTHERPRUDENTIAL
26670OTHERMISSOURIALLIANCE ALL CHOICE BASIC
308200436OTHERILLINOISBCBS OF IL
4100287OTHERHEALTHPARTNERS
5M2229OTHERMISSOURIMO MCR SUBMITTER ID
62230168OTHERAETNA HMO
7A09990MEDICARE UPIN
81007077OTHERUHC
9R4234OTHERMISSOURIMO LICENSE NUMBER
106670OTHERBLUE CHOICE
11608230MEDICARE PINILLINOIS
12119451OTHERHEALTHLINK
134376271OTHERAETNA PPO

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

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