Korver Ear Nose & Throat, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KORVER EAR NOSE & THROAT, LLC

Practice address

907 Lincoln Cir SE
Orange City, IA 51041-1859

Phone

(712) 707-9585

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marci Jene Bakker

Title

Office Assistant

Phone

(712) 707-9585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Gail Lynn Bolton, AU.D.,CCC/A

  • Audiologist
  • Orange City, IA
  • NPI 1710952106
  Medicare reassignment Care Compare group
• Kurtis David Korver, MD

  • Otolaryngology Physician
  • Orange City, IA
  • NPI 1356451421
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1689778201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LINCOLN CIR SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411859",
            "telephone_number": "712-707-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LINCOLN CIR SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411859",
            "telephone_number": "712-707-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORVER EAR NOSE & THROAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "BAKKER",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "JENE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "712-707-9585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Kamstra, M.D.
• Jennie Karnish, LMHC
• Jeremy Koerselman, LISW
• Jacey Koethe
• Christin Konz
• Kurtis David Korver, MD
• Kimber Krosschell, FDN-P
• Alan E Laird, M.D.
• Nichole Langel
• Rachel Langel

• Clinic/Center in Orange City, IA
• Providers in Orange City, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.