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

Ear Nose Throat Medical Service

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1407490105

Ear Nose Throat Medical Service is an Otolaryngology/Facial Plastic Surgery Physician in Chesterfield, Missouri. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

226 S Woods Mill Rd Ste 44W
Chesterfield, MO 63017-3442
Phone: (314) 447-4995
Fax: (314) 682-6093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 — (636) 936-5002

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X

Record details

NPI number1407490105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Burk — Designated Official · (314) 541-6838
NPI enumeratedNovember 5, 2019
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address1324 Clarkson Clayton Ctr Ste 301, Ellisville, MO 63011-2145