George Robert Kletzker, M.D.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

36620 Issued in MO

Practice address

14825 N Outer 40
Suite 310
Chesterfield, MO 63017-2152

Phone

(636) 449-5377

Fax

(636) 449-5380

NPI assigned

Jun 2, 2005

Last updated

Jan 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1417959479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-449-5377",
            "fax_number": "636-449-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-449-5377",
            "fax_number": "636-449-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETZKER",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MO",
            "license": "36620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitestring, LLC
• Mary Klarsch, PT, DPT
• Kenneth William Kleiman III, DDS
• Eric Edwin Klein, PH.D.
• Justin Tyler Klenke, DPT
• Michael J Klevens, M.D.
• Laurencia Antonette Klipfel, RN, APRN-BC
• Theresa Klosterman, PHARMD
• Amy Michelle Knackstedt
• Michael Kneemueller

• Otology & Neurotology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Otology & Neurotology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.