NPI Details
DR. Benjamin Mark Wahle, MD is an otolaryngology in Saint Louis, MO with 9 years of experience. The provider is 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 injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Benjamin Mark Wahle, MD NPI is 1689194243. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017
The provider's business location address is:
4500 FOREST PARK AVE
DEPT OTOLARYNGOLOGY, 5TH FL
SAINT LOUIS, MO
ZIP 63108-114
Phone: (314) 362-7509
Fax: (888) 452-4025
The NPI 1689194243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/26/2017 and was last updated on 8/13/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | 2025019752 | MISSOURI | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 200062195 | MEDICAID | MISSOURI | |
