Healthcare Provider Details

I. General information

NPI: 1205333952
Provider Name (Legal Business Name): EAR CARE AND HEARING OF ST. LOUIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11630 STUDT AVE STE 210
CREVE COEUR MO
63141
US

IV. Provider business mailing address

11630 STUDT AVE STE 210
SAINT LOUIS MO
63141-7394
US

V. Phone/Fax

Practice location:
  • Phone: 314-620-6019
  • Fax:
Mailing address:
  • Phone: 314-532-0682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2001032148
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2001032148
License Number StateMO

VIII. Authorized Official

Name: MR. RICHARD M HOGAN II
Title or Position: AUDIOLOGIST OWNER
Credential: MS, CCC-A
Phone: 314-624-3636