Active NPI
Paul E. Burk, D.O.
- Facial Plastic Surgery Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- R6G71
- Practice address
- 226 S Woods Mill Rd Ste 44W
Chesterfield, MO 63017-3442 - Phone
- (314) 447-4995
- Fax
- (314) 682-6093
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R6G71 | MO | |
| Facial Plastic Surgery Physician | 207YS0123X | R6G71 | MO | Primary |
Addresses
Primary practice location
226 S Woods Mill Rd Ste 44W
Chesterfield, MO 63017-3442
Mailing address
226 S Woods Mill Rd Ste 44W
Chesterfield, MO 63017-3442
Phone (314) 447-4995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242428308 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
226 S Woods Mill Rd
Suite 44W
Chesterfield, MO 63017-3442
Phone (314) 447-4995
Hospital & facility affiliations
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6G71 | MO | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodag Medical Services, LLC | Current | Accepting new patients | |
| Ear Nose Throat Medical Service | Current | Accepting new patients | |
| Metropolitan Plastic Surgery PC | Past | Accepting new patients |
Locations
226 S Woods Mill Rd
Ste 44W
Chesterfield, MO 63017
Phone (314) 447-4995
1324 Clarkson Clayton Ctr
Ellisville, MO 63011
Phone (314) 735-5015
2325 Dougherty Ferry Rd
Ste 205
Saint Louis, MO 63122
Phone (314) 821-5002
2315 Dougherty Ferry Rd
Ste 103
Saint Louis, MO 63122
Phone (314) 821-5002
4800 Mexico Rd
Ste 103
Saint Peters, MO 63376
Phone (314) 821-5002
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Chesterfield, MO
- NPI 1407490105
-
- Otolaryngology/Facial Plastic Surgery Physician
- Saint Peters, MO
- NPI 1003336819
-
- Plastic and Reconstructive Surgery Physician
- St Peters, MO
- NPI 1184601569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1790786838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 S WOODS MILL RD STE 44W",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173442",
"telephone_number": "314-447-4995",
"fax_number": "314-682-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 S WOODS MILL RD STE 44W",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173442",
"telephone_number": "314-447-4995",
"fax_number": "314-682-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "PAUL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "R6G71",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MO",
"license": "R6G71",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242428308",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.