NORTHWEST EAR NOSE & THROAT, PA (NPI# 1225113848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225113848 |
Entity Type | Organization |
Organization Name | NORTHWEST EAR NOSE & THROAT, PA |
Practice Address |
250 Johnson Ridge Medical Park Elkin NC 28621-2443 |
Practice Telephone | 3365261977 |
Practice Fax Number | 3365260061 |
Mailing Telephone | 3365261977 |
Mailing Fax Number | 3365260061 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-01-15 |
Authorized Official Name | MRS. DONNA S CHEEK (PRACTICE MANAGER) |
Authorized Official Telephone | 3365261977 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
74908 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 890264P | 05 |
Street Address |
250 JOHNSON RIDGE MEDICAL PARK |
City | ELKIN |
State | NC |
Zip Code | 28621-2443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427056571 | Mark Monroe Mayes | Nurse Practitioner | 250 Johnson Ridge Medical Park, Elkin, NC 28621-2443 | 2005-07-12 |
1467414433 | Americo Michael Minotti Jr. | Otolaryngology | 250 Johnson Ridge Medical Park, Elkin, NC 28621-2443 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
Find all providers in zip 28621 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1689210197 | Neogenix, PC | Clinic/Center | 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 | 2019-11-19 |
1255898094 | Old Well Medicine, Pllc | Clinic/Center | 1505 Sw Cary Pkwy Ste 302, Cary, NC 27511-6219 | 2019-02-28 |
1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
1255877841 | Ray Mercado D.o.p.c | Clinic/Center | 1126 N Church St Ste 202, Greensboro, NC 27401-1035 | 2017-01-06 |
1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
Find all providers with the same taxonomy |
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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.