Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HENRY CHARLES IDEKER, MD
ActiveHENRY CHARLES IDEKER, MD is a Otolaryngology healthcare provider located in ST LOUIS, Missouri. NPI 1063973972 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · ST LOUIS, MO
Registration Details
- NPI Number
- 1063973972
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2019 (7.424390130239 yrs)
- Last Updated
- Aug 7, 2025
- Licenses
-
MT231592 (PA)MT231592 (PA)2025029856 (MO)
Practice Information
- Address
-
1225 S GRAND BLVDGARDEN LEVEL, DOOR 3ST LOUIS, MO, 63104Browse MO providers · Browse ZIP 63104
- Phone
- 3145778884
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- 207YS0012X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| STEVEN E. WEST | M.D. | 1982695888 |
| EMILY E ZIAEE | M.D. | 1235120130 |
| THOMAS J DONOVAN | MD | 1255358842 |
| MICHAEL J ODELL | MD | 1902824717 |
| DR. CHAN P VO | MD | 1841302114 |
| PHILIP L MARTIN | MD | 1336237239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.