PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC


Address: Riddle Mem. Hosp.- Outpt. Pav., 1098 W. Baltimore Pk. Ste 3406, Media, PA 19063-5139
Phone: 6108745366

PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC (NPI# 1134680747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134680747
Entity Type Organization
Organization Name PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Practice Address Riddle Mem. Hosp.- Outpt. Pav.
1098 W. Baltimore Pk. Ste 3406
Media
PA 19063-5139
Mailing Address 2112 Providence Ave
Chester
PA 19013-5507
Practice Telephone 6108745366
Practice Fax Number 6108748448
Mailing Telephone 6108745366
Mailing Fax Number 6108748448
Enumeration Date 2019-03-27
Last Update Date 2019-03-27
Authorized Official Name JOHN M FEEHERY (AUTHORIZED OFFICIAL)
Authorized Official Telephone 6108745366
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619437654 Providence Ear Nose & Throat Associates Inc Otolaryngology 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 2019-03-25
1366523904 Providence Ear Nose & Throat Associates Inc Otolaryngology 2112 Providence Ave, Chester, PA 19013-5507 2006-10-18

Office Location

Street Address RIDDLE MEM. HOSP.- OUTPT. PAV.
1098 W. BALTIMORE PK. STE 3406
City MEDIA
State PA
Zip Code 19063-5139

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538766837 Kimberly Ann Martyn Nurse Practitioner 168 W Baltimore Pike, Media, PA 19063 2020-10-08
1366060220 Yinka Read Clinical Neuropsychologist 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 2020-07-08
1306304522 Caroline Dickerson Speech-Language Pathologist 510 Williamson Cir, Media, PA 19063 2019-03-06
1528544178 Dayeon Cho Nurse Practitioner 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 2018-07-17
1235621400 Joseph Savukinas Registered Nurse Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 2018-06-04
1003331281 Accredited Environmental Technologies, Inc. Contractor 28 N. Pennell Road, Media, PA 19063 2017-08-08
1538684220 Holcomb Associates Inc. Clinic/Center 126 East Baltimore Pike, Gayley Square, Media, PA 19063 2017-08-03
1619498334 Bryan Allen Mizell Specialist/Technologist 324 Crestview Circle, Media, PA 19063 2017-07-03
1427597970 Grow Now Therapy Services LLC. Speech-Language Pathologist 600 N Jackson Street, Media, PA 19063 2017-02-16
1720520216 Kathryn Rauch Counselor 107 Chesley Drive Unit #5, Media, PA 19063 2016-11-15
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962649780 Hearsay Ent Docs LLC Otolaryngology 1215 W Baltimore Pike Ste 4, Media, PA 19063-5540 2009-01-15
1841353091 Steven E Ladenheim Otolaryngology 125 Mansion Drive, Media, PA 19063-1019 2006-12-19
1538164777 Emile Hanna Galib Otolaryngology 1088 W Baltimore Pike, Ste 2306, Media, PA 19063-5146 2005-06-15
1356473672 Emile H. Galib, M.d., P.C. Otolaryngology 1088 W Baltimore Pike, Suite 2306, Media, PA 19063-5146 2007-03-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043877319 Health Services of Clarion, Inc. Otolaryngology 30 Pinnacle Dr Ste 301, Clarion, PA 16214-3800 2019-05-22
1619437654 Providence Ear Nose & Throat Associates Inc Otolaryngology 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 2019-03-25
1659844264 David C Hughes Otolaryngology 1047 Lilac St, Indiana, PA 15701-2459 2019-01-07
1790278372 Vishaal Patel Otolaryngology 3440 N Broad St # 300, Philadelphia, PA 19140-5104 2018-06-08
1710409594 Philippe Lavigne Otolaryngology 200 Lothrop St Ste 300, Pittsburgh, PA 15213-2536 2017-07-12
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1417313255 Robert Guelcher Otolaryngology 521 Montmarc Blvd, Erie, PA 16504-2611 2016-01-09
1689057804 Rui Jun Lin Otolaryngology 2533b Wharton St, Pittsburgh, PA 15203-5103 2015-07-07
1861870511 Giuseppe V Staltari Otolaryngology 203 Lothrup Street, Eye and Ear Building, Suite 500, Pittsburgh, PA 15213-2536 2015-05-14
1912313792 Julie Paige Shtraks Otolaryngology 205 N Broad St Ste 401, Philadelphia, PA 19107-1553 2014-07-01
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Competitor

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City MEDIA
Zip Code 19063

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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