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EARNOSEAND THROAT PLASTIC SURGERY OF WARRENSBURG P.C. NPI 1265511687


NPI Information

NPI: 1265511687
Provider Name: EAR,NOSE,AND THROAT PLASTIC SURGERY OF WARRENSBURG, P.C.
Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

CLIA Number: 26D1017960

Address:
706 N BURKARTH RD
WARRENSBURG, MO
ZIP 64093
Phone: (660) 747-5444
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EAR,NOSE,AND THROAT PLASTIC SURGERY OF WARRENSBURG, P.C. is an otolaryngic allergy otolaryngology in Warrensburg, MO. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. EAR,NOSE,AND THROAT PLASTIC SURGERY OF WARRENSBURG, P.C. NPI is 1265511687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

706 N BURKARTH RD
WARRENSBURG, MO
ZIP 64093-303
Phone: (660) 747-5444
Fax: (660) 747-5481

The provider's authorized official is Mark Lewis Hechler .
The authorized official title is President and has the following contact phone number (660) 747-5444.

The CLIA number assigned to this NPI record is 26D1017960 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2006 and was last updated on 4/23/2008.


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
1207YX0602XOtolaryngologyOtolaryngic Allergy101381MISSOURIYes

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
1N690000MEDICARE PIN
2506292705MEDICAIDMISSOURI
322873017OTHERBLUE CROSS/BLUE SHIELD OF KANSAS CITY

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: 5/5/2024

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