Provider Type Icon

JACK PETER KOTLARZ MD NPI 1922090646


NPI Information

NPI: 1922090646
Provider Name: JACK PETER KOTLARZ, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC

PECOS Registration: Yes

Address:
6100 NORTH DAVIS HWY
PENSACOLA, FL
ZIP 32504
Phone: (850) 471-2377
Get Directions

Jack Peter Kotlarz, MD is a specialist in Pensacola, FL with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jack Peter Kotlarz, MD NPI is 1922090646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1987

The provider's business location address is:

6100 NORTH DAVIS HWY
PENSACOLA, FL
ZIP 32504-950
Phone: (850) 471-2377
Fax: (850) 471-9975

The NPI 1922090646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Eardrum testing using ear probe (HCPCS:92567)
  • Assessment of eardrum and muscle function (HCPCS:92550)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 10/22/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME62757FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142544ZMEDICARE ID-TYPE UNSPECIFIED
2E20804MEDICARE UPINFLORIDA
342544OTHERFLORIDABCBS OF FLORIDA
44314144OTHERFLORIDAAETNA
5040016528OTHERFLORIDAUHC MCR RR
67618346003OTHERFLORIDACIGNA PPO
7590 51780OTHERALABAMABCBS OF ALA
8253548300MEDICAIDFLORIDA
9009900475OTHERALABAMAMEDICAID ALA

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: 11/14/2023

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.