Active NPI
Outside the Box, Inc.
- Otolaryngology Physician
- Saint Charles, MO
National Provider Identifier
1962564245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD R4836
- Legal business name
- OUTSIDE THE BOX, INC.
- Practice address
- 1475 Kisker Rd
Suite 270
Saint Charles, MO 63304-8781 - Phone
- (636) 926-2020
- Fax
- (636) 926-3926
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurence A Levine, MD
- Title
- Owner
- Phone
- (636) 926-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD R4836 | MO | Primary |
Addresses
Primary practice location
1475 Kisker Rd
Suite 270
Saint Charles, MO 63304-8781
Mailing address
1475 Kisker Rd
Suite 270
Saint Charles, MO 63304-8781
Phone (636) 926-2020
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Saint Louis, MO
- NPI 1588675177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962564245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"address_2": "SUITE 270",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-926-2020",
"fax_number": "636-926-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"address_2": "SUITE 270",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-926-2020",
"fax_number": "636-926-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTSIDE THE BOX, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-926-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MO",
"license": "MD R4836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- 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.