NORTHLAND EAR NOSE & THROAT PC (NPI# 1932136884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932136884 |
| Entity Type | Organization |
| Organization Name | NORTHLAND EAR NOSE & THROAT PC |
| Practice Address |
2521 Glenn Hendren Drive Suite 104 Liberty MO 64068-3388 |
| Practice Telephone | 8167811001 |
| Practice Fax Number | 8167920408 |
| Mailing Telephone | 8167811001 |
| Mailing Fax Number | 8167920408 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MATTHEW E BEUERLEIN (PRESIDENT) |
| Authorized Official Telephone | 8167811001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | NENT627212 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 27835011 | 01 |
| Street Address |
2521 GLENN HENDREN DRIVE SUITE 104 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255729133 | Elizabeth Collings | Registered Nurse | 2521 Glenn Hendren Drive, Suite 408, Liberty, MO 64068 | 2014-12-31 |
| 1376856880 | Jessica Fennewald | Nurse Practitioner | 2521 Glenn Hendren Drive, Suite 408, Liberty, MO 64068 | 2010-07-26 |
| 1043475478 | Lisa J Schuster | Audiologist | 2521 Glenn Hendren Drive, Suite 104, Liberty, MO 64068-3388 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215377 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 139 W. Swannanoa Ave, Liberty, NC 27298 | 2006-10-31 |
| 1225505456 | New Liberty Hospital Corporation | Otolaryngology | 2521 Glenn Hendren Dr Ste 104, Liberty, MO 64068-3388 | 2018-10-25 |
| 1891763363 | Matthew E Beuerlein | Otolaryngology | 2521 Glenn Hendren Dr, Ste 104, Liberty, MO 64068-3388 | 2006-03-10 |
| 1982672457 | Gregory J Mulcahy | Otolaryngology | 2521 Glenn Hendren Dr, Suite 104, Liberty, MO 64068-3388 | 2006-03-10 |
| 1164498168 | Mary A Luce | Otolaryngology | 2521 Glenn Hendren Dr, Suite 104, Liberty, MO 64068-3388 | 2006-02-28 |
| 1215903216 | David T Rouse Jr. | Otolaryngology | 2521 Glenn Hendren Dr, Ste 104, Liberty, MO 64068-3388 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
| 1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
| 1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1649621921 | Zachary Farhood | Otolaryngology | 3635 Vista Ave, 6fdt, St. Louis, MO 63110 | 2016-06-28 |
| 1538510961 | Haley Nicole Bray | Otolaryngology | 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 | 2016-06-27 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1013304914 | Andrea Lee Hanick | Otolaryngology | Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141 | 2015-04-20 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
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| 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.