Ear Nose Throat of Southeast Iowa, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25465 Issued in IA

Legal business name

EAR NOSE THROAT OF SOUTHEAST IOWA, P.C.

Practice address

1106 Pennsylvania Ave
Ottumwa, IA 52501-2109

Phone

(641) 684-0044

Fax

(641) 684-9015

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By 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. Kurt M Anderson, MDNPI 1568460244

Title

Owner

Phone

(641) 684-0044

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, and the practitioner matching its NPPES authorized official.

• Kurt M Anderson, M.D.

  • Specialist
  • Ottumwa, IA
  • NPI 1568460244
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Sword, M.A., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Ottumwa, IA
  • NPI 1295732949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861437071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012109",
            "telephone_number": "641-684-0044",
            "fax_number": "641-684-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012109",
            "telephone_number": "641-684-0044",
            "fax_number": "641-684-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT OF SOUTHEAST IOWA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-684-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "25465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. J. Brent Altfillisch, O.D. P.C.
• Cassandra Dunlavy, ARNP
• Holly Nicole Dunlavy, ARNP
• Dyer Dental, PLLC
• Jon Dyer, DDS
• Heather E Easton, ARNP
• Michelle Edwards, LMHC
• Shelly Ann Edwards, ARNP
• Kenneth John Eganhouse, D.D.S., M.S.
• Elises Corp (Elises Physical and Hand therapy)

• Specialist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Specialist in Iowa

• 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.
• 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.