Midwest Ear Nose & Throat Ctr PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MIDWEST EAR NOSE & THROAT CTR PC

Practice address

4880 NW Goodview Circle
Lees Summit, MO 64064

Phone

(816) 478-4200

Fax

(816) 478-0507

NPI assigned

Aug 31, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janet Gordon

Title

Practice Manager

Phone

(816) 875-2599

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Sinclair Pavlovich, M.D.

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1013980614
  NPD (past)
• Thomas Lowell Schroder

  • Audiologist
  • Kansas City, MO
  • NPI 1952542219
  NPD (past)
• Kelvin L Walls, M.D.

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1972576593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023001450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW EXECUTIVE WAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631841",
            "telephone_number": "816-875-2599",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 NW GOODVIEW CIRCLE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-478-4200",
            "fax_number": "816-478-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EAR NOSE & THROAT CTR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-875-2599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Division - LSH, LLC (Lee's Summit Medical Center)
• Midwest Division - LSH, LLC (Summit Ridge Campus, a department of Lee's Summit Medical Center)
• Midwest Division - LSH, LLC (Summit Ridge Medical Plaza, a department of Lee's Summit Medical Center)
• Midwest Division - LSH, LLC (Lee's Summit Hospital)
• Midwest Division - RMC, LLC (Intensive Outpatient - Lee's Summit, a department of Research Medical Center)
• Midwest Gastroenterology Partners PC
• Midwest Gi Health LLC
• Midwest Health Transport LLC
• Midwest Innovative Health Inc
• Midwest Psychiatric Consultants, P.C.

• Otolaryngology Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.