Midwest Otologic Group, P.C.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

MDR8770 Issued in MO

Legal business name

MIDWEST OTOLOGIC GROUP, P.C.

Practice address

621 S New Ballas Rd
Suite 597a
Saint Louis, MO 63141-8232

Phone

(314) 432-5151

Fax

(314) 432-8795

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Gaillard Smith, MD, PHD

Title

President

Phone

(314) 432-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peter G. Smith, MD, Peter G. Smith, MD, PhD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Kay Drexelius

  • Audiologist
  • Saint Louis, MO
  • NPI 1750542098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1053472092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 597A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-5151",
            "fax_number": "314-432-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 597A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-5151",
            "fax_number": "314-432-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OTOLOGIC GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GAILLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-432-5151",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MO",
            "license": "MDR8770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1518961440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter G. Smith, MD, Peter G. Smith, MD, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midwest Medical Associates, Inc.
• Midwest Medical Practitioners LLC
• Midwest Mobile Dentistry LLC
• Midwest Music Therapy Services, Inc
• Midwest Neurosurgeons, LLC
• Midwest Plastic & Hand Surgery Inc
• Midwest Pulmonary and Critical Care Consultants Inc
• Midwest Radiological Associates
• Midwest Radiological Associates PC
• Midwest Respiratory Care Inc

• Otology & Neurotology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Otology & Neurotology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.