Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Craig, MD

Individual provider Otolaryngology Physician · NPI 1023503851

Dr. Ethan Craig, MD is an Otolaryngology in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy Clinic ENT LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234
Phone: (314) 251-6394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15945 Clayton Rd Ste 360a, Ballwin, MO 63011-2382 — (314) 251-6394

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2023040235 (MO)

Record details

NPI number1023503851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Clinic Ent Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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