EAR NOSE THROAT MEDICAL SERVICE – NPI #1407490105
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

EAR NOSE THROAT MEDICAL SERVICE is an otolaryngologist located in CHESTERFIELD, MO. NPPES has assigned the NPI number 1407490105 to EAR NOSE THROAT MEDICAL SERVICE on November 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 4 years ago on Oct 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAR NOSE THROAT MEDICAL SERVICE below.

NPI Profile for
EAR NOSE THROAT MEDICAL SERVICE

NPI Number
1407490105
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAR NOSE THROAT MEDICAL SERVICE
Primary location
226 S WOODS MILL RD STE 44W
CHESTERFIELD, MO 63017-3442
Phone: (314) 447-4995 Fax: (314) 682-6093
1 Other location(s):
4800 Mexico Rd Ste 103
Saint Peters, MO 63376-1666
Phone: (636) 936-5002
Mailing address
1324 CLARKSON CLAYTON CTR STE 301
ELLISVILLE, MO 63011-2145
Phone: (314) 541-6838 Fax:
Organization Subpart
No
Authorized Official
KATHLEEN BURK
DESIGNATED OFFICIAL
Phone: (314) 541-6838
Updated
Certification Date
Oct 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.