| Dr Ethan Craig, MD | |
| 
					607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234  | |
| (314) 251-6394 | |
| Not Available | 
| Full Name | Dr Ethan Craig | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 607 S New Ballas Rd Ste 2300, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023503851 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2023040235 (Missouri) | Primary | 
| Entity Name | Truman Medical Center Incorporated | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847  | 
| Entity Name | Mercy Clinic Ent Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366705998 PECOS PAC ID: 7517118813 Enrollment ID: O20121114000539  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ethan Craig, MD 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 Ph: (314) 251-6394  | Dr Ethan Craig, MD 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 Ph: (314) 251-6394  | 
Mark F Stroble, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127 Phone: 314-843-3828 Fax: 314-843-3052  | |
Arya W Namin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 Fax: 314-251-4235  | |
Dr. Richard A Chole, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110 Phone: 314-454-6162 Fax: 314-454-2174  | |
Dr. Timothy J Reichert, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141 Phone: 314-872-8340 Fax: 314-872-8399  | |
Ricky Chae, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000  | |
Dr. Matthew Lee Rohlfing, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110 Phone: 314-362-7509 Fax: 314-362-7522  |