OTOLOGIC CENTER, INC. (NPI# 1144425117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144425117 |
| Entity Type | Organization |
| Organization Name | OTOLOGIC CENTER, INC. |
| Practice Address |
3100 Broadway St Suite 509 Kansas City MO 64111-2658 |
| Practice Telephone | 8165317373 |
| Practice Fax Number | 8165311404 |
| Mailing Telephone | 8165317373 |
| Mailing Fax Number | 8165311404 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DR. CHARLES MARION LUETJE (PRESIDENT) |
| Authorized Official Telephone | 8165317373 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
31298 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3100 BROADWAY ST SUITE 509 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766362 | Jamie Mason | Counselor | 3100 Broadway St, Suite 1104, Kansas City, MO 64111-2658 | 2005-08-03 |
| 1952740557 | Candice Wise | Social Worker | 3100 Broadway St, Suite 218, Kansas City, MO 64111-2658 | 2013-06-18 |
| 1104174861 | Jacqueline Kay Klingler | Social Worker | 3100 Broadway St, Suite 1000, Kansas City, MO 64111-2658 | 2012-08-28 |
| 1629337407 | Alan Lloyd Archer | Counselor | 3100 Broadway St, Suite 218, Kansas City, MO 64111-2658 | 2012-05-14 |
| 1518239516 | Jo Lynne Weilert | Social Worker | 3100 Broadway St, Kansas City, MO 64111-2658 | 2012-02-06 |
| 1831486059 | Karen Uptegrove-ryan | Psychologist | 3100 Broadway St, Suite 1104, Kansas City, MO 64111-2658 | 2011-07-08 |
| 1851685473 | Jenna Dey | Counselor | 3100 Broadway St, Ste. 400, Kansas City, MO 64111-2658 | 2011-05-31 |
| 1265737472 | Metropolitan Organization To Counter Sexual Assault | Community/Behavioral Health | 3100 Broadway St, Suite 400, Kansas City, MO 64111-2658 | 2011-01-19 |
| 1497050967 | Kristin Lea Mills-trowbridge | Counselor | 3100 Broadway St, Suite 400, Kansas City, MO 64111-2591 | 2011-01-14 |
| 1154626828 | Jessica Erin Walker | Counselor | 3100 Broadway St, 400, Kansas City, MO 64111-2658 | 2011-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740255876 | Charles Marion Luetje | Otolaryngology | 3100 Broadway Suite 509, Kansas City, MO 64111-2413 | 2006-02-22 |
| 1548284623 | Robert Daniel Cullen | Otolaryngology | 3100 Broadway St, Suite 509, Kansas City, MO 64111-2658 | 2006-07-26 |
| 1316914005 | Bradley Seaton Thedinger | Otolaryngology | 3100 Broadway Suite 509, Kansas City, MO 64111-2413 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841404613 | Mark John Van Ess | Otolaryngology | 1229 E Seminole St Ste 520, Springfield, MO 65804-2227 | 2007-05-10 |
| 1588661417 | James Edward Benecke Jr. | Otolaryngology | 1010 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-07-07 |
| 1417959479 | George Robert Kletzker | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2005-06-02 |
| 1831317635 | Saint Louis University | Otolaryngology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| 1669535282 | Ear Care & Skull Base Surgery, Inc. | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2006-12-18 |
| 1053472092 | Midwest Otologic Group, P.C. | Otolaryngology | 621 S New Ballas Rd, Suite 597a, Saint Louis, MO 63141-8232 | 2006-12-13 |
| 1831291343 | Andrew Jeremy Drescher | Otolaryngology | 4921 Parkview Pl Ste 11a, Ste 11a, Saint Louis, MO 63110-1032 | 2006-09-04 |
| 1043236276 | Richard A Chole | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1518961440 | Peter Gaillard Smith | Otolaryngology | 621 S New Ballas Rd, Ste 597a, Saint Louis, MO 63141-8214 | 2005-06-09 |
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on OTOLOGIC CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.