Anthony J Dangelo Jr. (NPI# 1215938550, PAC ID# 7911802566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1215938550 |
| PAC ID by PECOS | 7911802566 |
| Professional Enrollment ID | I20031205000311 |
| Full Name | Anthony J Dangelo Jr. |
| Organization Legal Name | EAR NOSE THROAT AND PLASTIC SURG INC |
| Address |
2315 Dougherty Ferry Rd Suite 103 Saint Louis MO 63122-3383 |
| Phone Number | 3148215002 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0547165094 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260176 | DES PERES HOSPITAL |
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 | 3148215002 | EAR NOSE THROAT AND PLASTIC SURG INC |
| Organization Legal Name | EAR NOSE THROAT AND PLASTIC SURG INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Barnes | Otolaryngology | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Maryjo Beason | Qualified Audiologist | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Paul E Burk | Otolaryngology | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Diana Lee Townsend | Qualified Audiologist | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Sharon M Prusaczyk | Audiologist | Ear Nose Throat and Plastic Surg Inc | 4800 Mexico Rd, Suite 103, Saint Peters, MO 63376-1666 |
| Street Address |
2315 DOUGHERTY FERRY RD SUITE 103 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63122-3383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen H Colgan | Podiatry | Next Step Foot and Ankle Centers Inc | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 |
| Christine M Hawthorne | Podiatry | Next Step Foot and Ankle Centers Inc | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 |
| Daniel J Santa Cruz | Pathology | Next Step Foot and Ankle Centers Inc | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 |
| Richard L Barnes | Otolaryngology | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Anahit Danielyan | Internal Medicine | Premier Medical Physicians LLC | 2315 Dougherty Ferry Rd, Suite 109a, Saint Louis, MO 63122-3383 |
| Mallory S Abate | Dermatology | St Louis University | 2315 Dougherty Ferry Rd, Suite 200, Saint Louis, MO 63122-3383 |
| William G Gerlach | Podiatry | Next Step Foot and Ankle Centers Inc | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 |
| Maryjo Beason | Qualified Audiologist | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Paul E Burk | Otolaryngology | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Diana Lee Townsend | Qualified Audiologist | Ear Nose Throat and Plastic Surg Inc | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | SAINT LOUIS |
| Zip Code | 63122 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAINT LOUIS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Anthony J Dangelo Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.