MEDICARE: DR. OTIS S LATIMER SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	102219	MO

General Provider Information

NPI Number	:	1033116058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OTIS S LATIMER SR. M.D.

Provider Business Mailing Address
First Line	:	5059 W 130TH TER
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66209-1861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 BLUE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2807
Country	:	US
Telephone Number	:	816-923-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/15/2011

Similar Medicare Providers

1851224695 — DR. ADITI INDURKAR BDS, MPH, DDS
Practice Location Address:

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO
64130-2807

Practice Phone: 816-923-5800
Practice Fax:

1184623506 — DR. DAVID ROBERT DEMBINSKI M.D.
Practice Location Address:

3801 BLUE PKWY
KANSAS CITY, MO
64130-2807

Practice Phone: 816-923-5800
Practice Fax: 816-922-7637

1790784023 — DR. MARQUITA MAYS D.D.S
Practice Location Address:

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO
64130-2807

Practice Phone: 816-923-5800
Practice Fax:

1568461457 — MS. ANITA MARY LOUISON PA-C
Practice Location Address:

3801 BLUE PKWY
KANSAS CITY, MO
64130-2807

Practice Phone: 816-923-5800
Practice Fax: 816-922-7637

1033119938 — JENNIFER CATANAOAN SANTIAGO FNP
Practice Location Address:

3801 BLUE PKWY
KANSAS CITY, MO
64130-2807

Practice Phone: 816-922-7645
Practice Fax:

1124010194 — DR. VINCENT R. PARSONS O.D.
Practice Location Address:

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO
64130-2807

Practice Phone: 816-922-7645
Practice Fax: 816-922-7617

Directions to “ DR. OTIS S LATIMER SR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.