Provider Demographics
NPI:1336444918
Name:MERITAS HEALTH CORPORATION
Entity Type:Organization
Organization Name:MERITAS HEALTH CORPORATION
Other - Org Name:KANSAS CITY METROPOLITAN EAR NOSE & THROAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:REINTJES
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:816-691-5287
Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-994-0040
Mailing Address - Fax:816-994-0044
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 500
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-994-0040
Practice Address - Fax:816-994-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1932341419Medicaid
MOMA1639Medicare PIN