Northland Ear Nose & Throat PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHLAND EAR NOSE & THROAT PC

Practice address

2521 Glenn Hendren Drive
Suite 104
Liberty, MO 64068-3388

Phone

(816) 781-1001

Fax

(816) 792-0408

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew E Beuerlein, MD

Title

President

Phone

(816) 781-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mary A Luce, MD

  • Otolaryngology Physician
  • Liberty, MO
  • NPI 1164498168
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932136884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DRIVE",
            "address_2": "SUITE 104",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-1001",
            "fax_number": "816-792-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DRIVE",
            "address_2": "SUITE 104",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-1001",
            "fax_number": "816-792-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND EAR NOSE & THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEUERLEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-781-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27835011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NENT627212",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Carleen Noble
• Rachael Noland
• Susan Jeanne Nordhues, RN,MSN,ARNP
• Northland Chest Consultants, Inc.
• Northland Dependency Services, LLC
• Northland Eye Specialists PC
• Northland Eye Surgery Center, LLC
• Northland Hearing Associates, Inc.
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northland O&P LLC

• Otolaryngology Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Otolaryngology Physician in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.