Otolaryngology of Joplin

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

104366 Issued in MO

Legal business name

OTOLARYNGOLOGY OF JOPLIN

Doing business as

Joplin Ear, Nose and Throat

Practice address

1920 E. 32ND St.
Joplin, MO 64804

Phone

(417) 781-4613

Fax

(417) 781-0805

NPI assigned

Nov 7, 2007

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renee A Walker, D.O.NPI 1417949488

Title

Otolaryngologist

Phone

(417) 781-4613

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Joplin Ear, Nose and Throat Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee A Walker, DO

  • Pediatric Otolaryngology Physician
  • Joplin, MO
  • NPI 1417949488
  Medicare reassignment Care Compare group NPD Authorized official
• Suzanne S Long, AU.D.

  • Audiologist
  • Joplin, MO
  • NPI 1124116124
  Medicare reassignment Care Compare group NPD
• Mark Spaw, M.D.

  • Otolaryngology Physician
  • Joplin, MO
  • NPI 1184165805
  Medicare reassignment Care Compare group NPD
• Jessica L Temm, NP

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1487391520
  Medicare reassignment Care Compare group NPD
• Andra J Fontaine, FNP-C

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1083890461
  NPD (past)
• Dana Marie Opfer, AU.D., CCC-A

  • Assistive Technology Supplier Audiologist
  • Joplin, MO
  • NPI 1093885600

  Audiologist-Hearing Aid Fitter

  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1568642452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E. 32ND ST.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E. 32ND ST.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-781-4613",
            "fax_number": "417-781-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY OF JOPLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "417-781-4613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "104366",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248651705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Ear, Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Lynn Orren, DO
• Ma. Estela Lopez Ortaleza, PT
• Abbie Marie Osborn, ARNP
• Susan Osgood
• Ty William Osgood, LPC
• Kathleen M Ott, NP
• Alex Lee Otto, DO
• Chase Otto
• Outreach Occupational Therapy LLC
• Wendy Ovalle, LMSW

• Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.