RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC (NPI# 1255569521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255569521 |
| Entity Type | Organization |
| Organization Name | RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC |
| Practice Address |
10208 Cerny St Suite 300 Raleigh NC 27617-7884 |
| Mailing Address |
Po Box 18946 Raleigh NC 27619-8946 |
| Practice Telephone | 9193541290 |
| Practice Fax Number | 9194202028 |
| Mailing Telephone | 9197877171 |
| Mailing Fax Number | 9194202028 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | JOANNE P DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 9194202027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907977 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891923165 | Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc | Otolaryngology | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2009-06-25 |
| Street Address |
10208 CERNY ST SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27617-7884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498832 | Amy Schafer Erickson | Family Medicine | 10208 Cerny St, Suite 206, Raleigh, NC 27617-7884 | 2005-09-26 |
| 1144767260 | Associated Urologists of North Carolina, Pa | Urology | 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 | 2017-01-26 |
| 1508318114 | Sentinel Primary Care | Clinic/Center | 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 | 2016-10-30 |
| 1245595214 | Atlantic Reproductive Medicine Specialists | Obstetrics & Gynecology | 10208 Cerny St, 306, Raleigh, NC 27617-7884 | 2012-07-05 |
| 1750688438 | Ls of Raleigh | Internal Medicine | 10208 Cerny St, Suite 210, Raleigh, NC 27617-7884 | 2011-02-16 |
| 1396974309 | Nikhil Jariwala | Internal Medicine | 10208 Cerny St, Suite 106, Raleigh, NC 27617-7884 | 2009-07-11 |
| 1912168667 | Nash Allergy and Asthma, P.C. | Allergy & Immunology | 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 | 2008-06-24 |
| 1083891089 | Venkat Rama Krishna Rao Neelagiri | Family Medicine | 10208 Cerny St, Suite 110, Raleigh, NC 27617-7884 | 2008-01-22 |
| 1023209491 | Scott David Nash | Allergy & Immunology | 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 | 2007-08-09 |
| 1659579647 | Keenon Johnson | Dentist | 10208 Cerny St, Suite 304, Raleigh, NC 27617-7884 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1568006310 | Aubrey Nicole Stephenson | Dietitian, Registered | 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 | 2019-11-05 |
| 1982114567 | Method Manual Physical Therapy and Wellness LLC | Physical Therapist | 9244 Miranda Drive, Raleigh, NC 27617 | 2017-10-09 |
| 1588182539 | Aqsa Salman | Counselor | 11736 Dellcain Court, Raleigh, NC 27617 | 2017-08-30 |
| 1962942326 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10440 Glenwood, Durham, NC 27617 | 2017-03-06 |
| 1457896037 | Emergeortho Pa | Durable Medical Equipment & Medical Supplies | 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 | 2017-01-05 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1821457789 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7231 Acc Blvd Ste 103, Raleigh, NC 27617 | 2016-02-19 |
| 1033583760 | America Alisha Allen | Social Worker | 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 | 2015-11-18 |
| Find all providers in zip 27617 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
| 1346595238 | Bethany Lisi Buie | Otolaryngology | 3024 New Bern Ave Ste 200, Raleigh, NC 27610-1247 | 2012-07-17 |
| 1528390697 | Fred F. Holt | Otolaryngology | 4928 Misty Oak Dr, Raleigh, NC 27613-6348 | 2010-02-01 |
| 1699972307 | Jeevan B Ramakrishnan | Otolaryngology | 4600 Lake Boone Trl, Suite 100, Raleigh, NC 27607-7501 | 2007-06-27 |
| 1205971934 | Robert Powell Majors Jr. | Otolaryngology | 3508 Williamsborough Ct, Raleigh, NC 27609-6354 | 2007-02-20 |
| 1558370734 | Brett Edward Dorfman | Otolaryngology | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2006-08-05 |
| 1124043823 | Henry Clifford Baggett | Otolaryngology | 2518 Wake Dr, Raleigh, NC 27608-1340 | 2006-07-13 |
| 1730112442 | Barbara A Burggraaff | Otolaryngology | 5603 Duraleigh Rd Ste B, Raleigh, NC 27612-2688 | 2006-07-08 |
| 1194769752 | Timothy James Heffron | Otolaryngology | 10880 Durant Rd Ste 124, Raleigh, NC 27614-6629 | 2006-06-15 |
| 1043250822 | Magda El Raheb Pugh | Otolaryngology | 10010 Falls of Neuse Suite 012, Raleigh, NC 27614 | 2006-06-08 |
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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.