MEDICARE: DR. JAMES EDWARD BENECKE JR. M.D., F.A.C.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0901X	Otology & Neurotology Physician	01028105A	IN
2	207YX0901X	Otology & Neurotology Physician	9714	MT
3	207YX0901X	Otology & Neurotology Physician	C40795	CA
4	207YX0901X	Otology & Neurotology Physician	R8J88	MO

General Provider Information

NPI Number	:	1588661417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EDWARD BENECKE JR. M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	PO BOX 790379
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63179-0379
Country	:	US
Telephone Number	:	314-729-0077
Fax Number	:	314-552-7308

Provider Business Practice Location Address
First Line	:	1010 OLD DES PERES RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1865
Country	:	US
Telephone Number	:	314-729-0077
Fax Number	:	314-552-7308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/17/2018

Similar Medicare Providers

1225163355 — MRS. VANESSA VOGEL SURESH MS, CCC-SLP
Practice Location Address:

1082 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-5230
Practice Fax:

1194720037 — DR. THOMAS G JOHANS M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 636-386-9224
Practice Fax: 636-386-7679

1336144187 — DR. TODD D BAILEY M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1659377687 — DR. STEPHEN D SCHMIDT M.D.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1386640316 — DR. GREGORY H SMITH D.O.
Practice Location Address:

1070 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-821-8644
Practice Fax: 314-821-4858

1811988611 — SOUND HEALTH SERVICES P.C.
Practice Location Address:

1010 OLD DES PERES RD
SAINT LOUIS, MO
63131-1865

Practice Phone: 314-722-0077
Practice Fax: 314-729-0101

Directions to “ DR. JAMES EDWARD BENECKE JR. M.D., F.A.C.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.