Dr. Maxwell Tanyi Fohtung
Dr. Maxwell Tanyi Fohtung practises General Surgery in Saint Louis, Missouri. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Pro Health One Inc, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Missouri.
- Years since qualifying
- 11
- Trained at
- Indiana University School of Medicine
- Licensed in
- CO, MO
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
4949 W Pine BlvdSaint Louis, MO 63108
Phone: (314) 389-1496
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-5000
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence DR.0069226 (CO) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 2018011353 (MO) |
| Surgery Physician | Taxonomy 208600000X · Licence 2018011353 (MO) |
Record details
| NPI number | 1982088571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 14, 2015 |
| Last updated in NPPES | March 31, 2026 |
| Certification date | March 31, 2026 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Pro Health One Inc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Removal of tissue | 1,271 times |
|---|---|
| Removal of skin lesions | 209 times |
| Removal of nail tissue | 1–10 times |
| Removal or shaving of skin growth | 1–10 times |
| Skin biopsy | 1–10 times |
Medicare patients and services, 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 4,034 |
| Average patient age | 77 |
Payments from drug and device companies, 2025
| Food and Beverage | $197 |
|---|
Colleagues at Pro Health One Inc
- James Abbey, MD Student in an Organized Health Care Education/Training Program · Anacortes, WA
- Theodore R Bosch, MD Surgery Physician · Mount Vernon, WA
- Kim M Brandau, MD General Practice Physician · Moab, UT
- Heather Kathleen Bright, DO General Practice Physician · Pace, FL
- Dr. Jyoti R Chawla, MD Internal Medicine Physician · Powell, OH
- Varun Chopra, DPM Podiatrist · Denver, CO
- Dr. Mark Andrew Hiesterman, DO Surgery Physician · Glasgow, MT
- Alexander Bernhard Kurth, MD Student in an Organized Health Care Education/Training Program · Aurora, CO
- Dr. Mina S Lee, MD Urology Physician · Denver, CO
- Mofei Liu, MD Surgery Physician · Bremerton, WA
- Dr. Pradeep Rai, MD Addiction Medicine (Internal Medicine) Physician · Denver, CO
- Dr. Juan Sebastian Vazquez, MD Surgery Physician · Washington, DC
Other providers in Saint Louis
-
Devera Elcock, MD
615 S New Ballas Rd, Saint Louis, MO 63141-8221 · (314) 251-6031
-
Timothy D Fagen, DO
1402 S Grand Blvd Ste M260 ST Louis University Gme, Saint Louis, MO 63104-1004 · (314) 577-8782
-
Dr. Sean C Fitzmaurice, MD
400 S Kingshighway Blvd Dept Emergency Med, Saint Louis, MO 63110-1014 · (314) 362-9123
-
Dr. Peter Joseph Fletcher, MD
3015 N Ballas Rd Dept Emergency Med, Saint Louis, MO 63131-2329 · (314) 966-5000
-
Dr. Brian Randolph Froelke, MD
400 S Kingshighway Blvd Dept Emergency Med, Saint Louis, MO 63110-1014 · (314) 362-9123
-
Dr. Joseph L Galkowski, DO
3015 N Ballas Rd Dept Emergency Med, Saint Louis, MO 63131-2329 · (314) 966-5000
-
Gavini Medical Group, Ltd
10000 Watson Rd 2L-24, Saint Louis, MO 63126-1854 · (314) 822-7033
-
Mr. Rajendra Gavini, MD
12101 Woodcrest Executive Dr Ste 210, Saint Louis, MO 63141-5047 · (314) 317-0600