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

Robert Cory Proffer, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1376174417

Robert Cory Proffer, PHYSICIANASSISTANT is a Physician Assistant in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Mercy Clinic ENT LLC, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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Practice location Address checks out

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234
Phone: (314) 931-5990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1376174417
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Clinic Ent Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Louis