OTOLOGIC CENTER INC. NPI 1144425117

NPI Information

  • NPI: 1144425117
  • Provider Name: OTOLOGIC CENTER, INC.
  • Classification: Otolaryngology - 207YX0901X
  • Specialization: Otology & Neurotology
  • Entity Type: Organization
  • Address: 3100 BROADWAY ST
    SUITE 509
    KANSAS CITY, MO
    ZIP 64111
  • Phone: (816) 531-7373

Map and Directions

Get Directions

NPI Details

OTOLOGIC CENTER, INC. is an otology and neurotology otolaryngology in Kansas City, MO. The provider is 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. OTOLOGIC CENTER, INC. NPI is 1144425117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 BROADWAY ST
SUITE 509
KANSAS CITY, MO
ZIP 64111-658
Phone: (816) 531-7373
Fax: (816) 531-1404

The provider's authorized official is Charles Marion Luetje .
The authorized official title is President and has the following contact phone number (816) 531-7373.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 12/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0901XOtolaryngologyOtology & Neurotology31298MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1X840000MEDICARE PINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI