Active NPI
Mark F Stroble, M.D.
- Otolaryngology Physician
- Saint Louis, MO
National Provider Identifier
1023006087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 36741
- Practice address
- 12399 Gravois Rd
Ste 120
Saint Louis, MO 63127-1750 - Phone
- (314) 843-3828
- Fax
- (314) 843-3052
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 36741 | MO | Primary |
Addresses
Primary practice location
12399 Gravois Rd
Ste 120
Saint Louis, MO 63127-1750
Mailing address
9701 Landmark Parkway Dr
Ste 201
Saint Louis, MO 63127-1665
Phone (314) 843-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36741 | MO | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1023006087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 LANDMARK PARKWAY DR",
"address_2": "STE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271665",
"telephone_number": "314-843-3828",
"fax_number": "314-843-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12399 GRAVOIS RD",
"address_2": "STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271750",
"telephone_number": "314-843-3828",
"fax_number": "314-843-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBLE",
"first_name": "MARK",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "36741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.