Healthcare Provider Details

I. General information

NPI: 1831002153
Provider Name (Legal Business Name): OPHELIE DOUCET MD, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1010
US

IV. Provider business mailing address

4545 LACLEDE AVE APT 738
SAINT LOUIS MO
63108-2373
US

V. Phone/Fax

Practice location:
  • Phone: 438-882-9681
  • Fax:
Mailing address:
  • Phone: 438-882-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number2026008647
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: