1. Home
  2. Directory
  3. Missouri
  4. Saint Peters
  5. Otolaryngology
  6. NPI Profile

HODAG MEDICAL SERVICES, LLC
NPI 1003336819
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Saint Peters, MO

Active since June 22, 2017
4800 MEXICO RD STE 103, SAINT PETERS, MO 63376(636) 936-5002(314) 821-5029 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2019, Mar 17, 2018, Jun 22, 2017 (3 updates tracked since 2017).

About Hodag Medical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HODAG MEDICAL SERVICES, LLC (NPI 1003336819) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Saint Peters, Missouri and active in the NPI registry since June 2017. The organization maintains 2 additional practice locations and lists Paul E. Burk, Physician, as its authorized official.

NPPES Registry Identity

NPI1003336819
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameHODAG MEDICAL SERVICES, LLC
Location Address4800 MEXICO RD STE 103Saint Peters, MO 63376-1666
Mailing Address1324 Clarkson Clayton Ctr Unit 301Ellisville, MO 63011-2145 · (314) 541-6838
Phone(636) 936-5002
Fax(314) 821-5029
Organization SubpartNo
Authorized OfficialPaul E. BurkPhysician · (314) 821-5002
Enumeration DateJune 22, 2017
Last NPPES UpdateAugust 13, 20193 updates tracked since enumeration
✔ NPI 1003336819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MO · R6G71
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License R6G71 (MO)
4800 MEXICO RD STE 103, Saint Peters, MO 63376
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112277 De Paul Dr Ste 303Bridgeton, MO 63044-2529 · Phone (314) 770-0708 · Fax (314) 821-5029
Location 22315 Dougherty Ferry Rd Ste 103Saint Louis, MO 63122-3383 · Phone (314) 821-5002 · Fax (314) 821-5029

Other Identifiers 2

Other1790786838Npi
Medicaid242428308MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. LOUIS HEART INSTITUTE CARDIOTHORACIC SURGEONS, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4800 MEXICO RD STE 103
SAINT PETERS, MO 63376
St. Charles County (314) 909-0747
GORDON C KNIGHT D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4800 MEXICO RD STE 103
SAINT PETERS, MO 63376
St. Charles County (314) 909-0747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hodag Medical Services, LLC's NPI number?

The NPI number for Hodag Medical Services, LLC is 1003336819. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Hodag Medical Services, LLC located?

Hodag Medical Services, LLC is located at 4800 Mexico Rd Ste 103, Saint Peters, MO 63376. The listed phone number is (636) 936-5002.

What is Hodag Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Hodag Medical Services, LLC was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.