Individual provider · Type 1 NPI

Samuel Mearl Medaris, MD

Otolaryngology Physician · Farmington, MO

NPI number 1720159346 Active

Practice location

501 W Pine St
Farmington, MO 63640-1439

Fax (573) 701-9547

Mailing address

1010 Old Des Peres Rd
Des Peres, MO 63131-1865

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X40298 (IA)
Otolaryngology Physician 207Y00000X23454 (NE)
Otolaryngology Physician Primary 207Y00000X2020000124 (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…

6 other providers at this address

About NPI 1720159346

Samuel Mearl Medaris, MD's National Provider Identifier is 1720159346, issued on Nov 13, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Farmington, MO. The record was last updated on Mar 17, 2025.