DR. GEORGE ROBERT KLETZKER (NPI# 1417959479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417959479 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ROBERT KLETZKER |
| Credential | M.D. |
| Practice Address |
14825 N Outer 40 Suite 310 Chesterfield MO 63017-2152 |
| Practice Telephone | 6364495377 |
| Practice Fax Number | 6364495380 |
| Mailing Telephone | 6364495377 |
| Mailing Fax Number | 6364495380 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
36620 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
14825 N OUTER 40 SUITE 310 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881840668 | John O. Krause, M.d., LLC | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-08-13 |
| 1609032655 | Whitney Lyn Nunn | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-07-30 |
| 1760656607 | Judith Gurley Plastic Surgery, LLC | Plastic Surgery | 14825 N Outer 40, #350, Chesterfield, MO 63017-2152 | 2008-04-22 |
| 1669657714 | The Orthopedic Center of St. Louis | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-01-08 |
| 1366657751 | Penney Muskopf | Specialist/Technologist, Other | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-05-11 |
| 1972633733 | Neurological and Electrodiagnostic Institute of St. Louis Inc. | Psychiatry & Neurology | 14825 N Outer 40, Suite 330, Chesterfield, MO 63017-2152 | 2007-03-07 |
| 1902935588 | Allyson Joggerst | Physician Assistant | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-02 |
| 1700914983 | Paula Ronzio | Clinical Nurse Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-01 |
| 1700911039 | Kim Laux | Registered Nurse | 14825 N Outer 40, Chesterfield, MO 63017-2152 | 2007-02-23 |
| 1669535282 | Ear Care & Skull Base Surgery, Inc. | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1669535282 | Ear Care & Skull Base Surgery, Inc. | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841404613 | Mark John Van Ess | Otolaryngology | 1229 E Seminole St Ste 520, Springfield, MO 65804-2227 | 2007-05-10 |
| 1740255876 | Charles Marion Luetje | Otolaryngology | 3100 Broadway Suite 509, Kansas City, MO 64111-2413 | 2006-02-22 |
| 1588661417 | James Edward Benecke Jr. | Otolaryngology | 1010 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-07-07 |
| 1144425117 | Otologic Center, Inc. | Otolaryngology | 3100 Broadway St, Suite 509, Kansas City, MO 64111-2658 | 2007-06-19 |
| 1831317635 | Saint Louis University | Otolaryngology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| 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 |
| 1548284623 | Robert Daniel Cullen | Otolaryngology | 3100 Broadway St, Suite 509, Kansas City, MO 64111-2658 | 2006-07-26 |
| 1043236276 | Richard A Chole | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1316914005 | Bradley Seaton Thedinger | Otolaryngology | 3100 Broadway Suite 509, Kansas City, MO 64111-2413 | 2006-03-02 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DR. GEORGE ROBERT KLETZKER.
| 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.