Individual provider · Type 1 NPI

Henry Charles Ideker, MD

Otolaryngology Physician · St. Louis, MO

NPI number 1063973972 Active

Practice location

1225 S Grand Blvd, Garden Level, Door 3
St. Louis, MO 63104

Call (314) 577-8884 Map

Mailing address

1008 S Spring Ave Ste 3300
St. Louis, MO 63110-2520

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XMT231592 (PA)
Sleep Medicine (Otolaryngology) Physician 207YS0012XMT231592 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Otolaryngology Physician Primary 207Y00000X2025029856 (MO)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1063973972

Henry Charles Ideker, MD's National Provider Identifier is 1063973972, issued on Mar 26, 2019. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 7, 2025.