NORTHWOODS EAR, NOSE & THROAT PC (NPI# 1356394803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356394803 |
| Entity Type | Organization |
| Organization Name | NORTHWOODS EAR, NOSE & THROAT PC |
| Practice Address |
2611 Charlevoix Ave Petoskey MI 49770-8524 |
| Practice Telephone | 2313485900 |
| Practice Fax Number | 2313485901 |
| Mailing Telephone | 2313485900 |
| Mailing Fax Number | 2313485901 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | JAMES J SLATER (OWNER) |
| Authorized Official Telephone | 2313485900 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5101015870 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4832946-11 | 05 | |
| MI | BCBS | 1751601125 | 01 |
| Street Address |
2611 CHARLEVOIX AVE |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942497466 | James Jonathan Slater | Otolaryngology | 2611 Charlevoix Ave, Petoskey, MI 49770-8524 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429568 | Hills Ent Institute Pllc | Otolaryngology | 43700 Woodward Ave Ste 201, Bloomfield Hills, MI 48302-5061 | 2018-06-02 |
| 1639402258 | Shant Ara Korkigian | Otolaryngology | 25500 Meadowbrook Rd Ste 220, Novi, MI 48375 | 2009-09-14 |
| 1992914725 | Theodore Alan Golden | Otolaryngology | 755 W Big Beaver, Suite 2111, Troy, MI 48084 | 2007-05-21 |
| 1407992480 | David M Kent | Otolaryngology | 100 Kirts Blvd, Troy, MI 48084-5251 | 2007-01-29 |
| 1174588370 | Richard A Wandzel | Otolaryngology | 222 W Highland Rd, Highland, MI 48357-4504 | 2006-04-19 |
| 1427037282 | Steven Joe Kin | Otolaryngology | 2300 Haggerty Rd Ste 2130, West Bloomfield, MI 48323-2191 | 2006-01-11 |
| 1780112144 | Matthew Wesley Globerson | Otolaryngology | 25500 Meadowbrook Rd, Novi, MI 48375-1878 | 2017-05-30 |
| 1770024630 | Niki Patel | Otolaryngology | 1000 Harrington St, Mount Clemens, MI 48043 | 2017-03-12 |
| 1063951689 | Colin Byrd | Otolaryngology | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-02-15 |
| 1386094761 | Anthony Lynn Howard | Otolaryngology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2016-06-16 |
| 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.