Individual provider Active NPI

David Vincent Yonick, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1568626752
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2023036685 Issued in MO
Practice address
701 S New Ballas Rd Ste 310
Saint Louis, MO 63141-8725
Phone
(314) 251-8750
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 4301109246 MI
Plastic and Reconstructive Surgery Physician 2086S0122X 2023036685 MO Primary

Addresses

Primary practice location

701 S New Ballas Rd Ste 310
Saint Louis, MO 63141-8725

Mailing address

701 S New Ballas Rd Ste 310
Saint Louis, MO 63141-8725
Phone (314) 251-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160805001130 MI Practitioner - Plastic and Reconstructive Surgery 0840504601
I20231020002507 MO Practitioner - Plastic and Reconstructive Surgery 0840504601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Toledo College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Burn and Plastic Surgery LLCGroup PAC ID 4688622822, 14 clinicians

Practice addresses (Care Compare)

701 S New Ballas Rd
Suite 310
Saint Louis, MO 63141-8725
Phone (314) 251-8750

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301109246MIMDPlastic and Reconstructive Surgery Physician
2023036685MOMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Burn and Plastic Surgery, LLC Plastic Surgery CurrentSince Oct 9, 2023 Accepting new patients
Mercy Clinic Hyperbaric and Wound Care LLC CurrentSince Feb 13, 2025 Accepting new patients

Locations

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

11700 Studt Ave
Saint Louis, MO 63141
Phone (314) 989-1181

701 S New Ballas Rd
Ste 310
Saint Louis, MO 63141
Phone (314) 251-8750

Interoperability endpoints

  • Direct secure messaging: dyonick71402@mymichiganhealth.midirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1568626752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418725",
            "telephone_number": "314-251-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418725",
            "telephone_number": "314-251-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONICK",
        "first_name": "DAVID",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301109246",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2023036685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.