Kotlarz ENT and Facial Plastic Surgery

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

KOTLARZ ENT AND FACIAL PLASTIC SURGERY

Practice address

6100 N Davis Hwy
Pensacola, FL 32504-6950

Phone

(850) 471-2377

Fax

(850) 471-9975

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jack P Kotlarz, MD

Title

Physician

Phone

(850) 471-2377

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1174713531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046950",
            "telephone_number": "850-471-2377",
            "fax_number": "850-471-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046950",
            "telephone_number": "850-471-2377",
            "fax_number": "850-471-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTLARZ ENT AND FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "KOTLARZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-471-2377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K3071",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G. Koressel, CRNA
• Francisco Chavarria Kortman, D.O.
• Andrew E Kortz, MD
• Cassie Kostevicki, PHARMD
• Darpan Pravin Kothia
• Mike Joseph Kovach, ACUPUNCTURIST
• Peter Bela Kovats, M.D.
• KR Counseling
• Danielle Kramer, LIMHP
• Kyle Eric Krantz, APRN

• Otolaryngology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.