Provider Demographics
NPI:1598776601
Name:GERMAN, DAVID SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:GERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:621 SOUTH NEW BALLAS ROAD
Mailing Address - Street 2:SUITE 6003B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141
Mailing Address - Country:US
Mailing Address - Phone:314-991-2151
Mailing Address - Fax:314-991-2742
Practice Address - Street 1:621 SOUTH NEW BALLAS ROAD
Practice Address - Street 2:SUITE 6003B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-991-2151
Practice Address - Fax:314-991-2742
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR3G63208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
000002612OtherHUMANA GOLD CHOICE
E61059OtherMERCY HEALTH PLANS
110092374OtherRAILROAD MEDICARE
MO23802OtherBLUE CROSS BLUE SHIELD
STL1300028OtherUNITED HEALTH CARE
6254V41192OtherGROUP HEALTH PLANS
3105655001OtherCIGNA
6254V41192OtherCARE MANAGEMENT RESOURCE
6254V41192OtherGROUP HEALTH PLANS
6254V41192OtherCARE MANAGEMENT RESOURCE