Active NPI
Midwest ENT Centre, PC
- Otolaryngology Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MIDWEST ENT CENTRE, PC
- Practice address
- 4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606 - Phone
- (636) 441-3100
- Fax
- (636) 441-6784
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Michael Conoyer, M.D.
- Title
- President
- Phone
- (636) 441-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606
Mailing address
4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606
Phone (636) 441-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2015372 | Midwest ENT Centre | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
4790 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 441-3100
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1841215126
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1184817629
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1881875961
-
- Family Nurse Practitioner
- Wentzville, MO
- NPI 1144056151
-
- Audiologist
- Saint Peters, MO
- NPI 1851567911
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1093207243
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1861417156
-
- Family Nurse Practitioner
- Saint Peters, MO
- NPI 1629743612
-
- Audiologist
- Des Peres, MO
- NPI 1992176754
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1295750586
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1356445530
-
- Audiologist
- Saint Peters, MO
- NPI 1184973380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1932236650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 EXECUTIVE CENTRE PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761606",
"telephone_number": "636-441-3100",
"fax_number": "636-441-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4790 EXECUTIVE CENTRE PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761606",
"telephone_number": "636-441-3100",
"fax_number": "636-441-6784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ENT CENTRE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "CONOYER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-441-3100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
- Jerry R Meyers, MD
- Michael T. Heiland D.D.S., P.C. (Discovery Dental Centers)
- Michele Roberts, LLC
- Mid Rivers Ambulatory Surgery Center LP (Mid Rivers Surgery Center)
- Mid-Mo O&P LLC (Advanced O&P)
- Midwest Nephrology Associates Inc
- Lauren Milburn
- Millennium Manor Adult Day Center LLC
- Millennium Manor CDS LLC
- Jerad P Miller, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.