Provider Demographics
NPI:1700831112
Name:LITOFSKY, NORMAN SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:SCOTT
Last Name:LITOFSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:ONE HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-4908
Practice Address - Fax:573-884-5184
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004015916207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO190481OtherBLUE SHIELD/BLUE CHOICE
MO671653OtherHEALTLINK
MO600245OtherUNITED HEALTHCARE
MO208350801Medicaid
MO922205236Medicare PIN
MO671653OtherHEALTLINK
MOF43284Medicare UPIN
MO208350801Medicaid
MO922201871Medicare PIN