RANDOLPH EAR, NOSE & THROAT ASSOCIATES, P.A. (NPI# 1568425361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568425361 |
| Entity Type | Organization |
| Organization Name | RANDOLPH EAR, NOSE & THROAT ASSOCIATES, P.A. |
| Practice Address |
124 N Park St Asheboro NC 27203-5440 |
| Practice Telephone | 3366251007 |
| Practice Fax Number | 3366250350 |
| Mailing Telephone | 3366251007 |
| Mailing Fax Number | 3366250350 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MR. CHARLES BRANTLEY WEST (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3366251007 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS GROUP PROVIDER # | 0254Y | 01 |
| NC | 890254Y | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215377 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 139 W. Swannanoa Ave, Liberty, NC 27298 | 2006-10-31 |
| Street Address |
124 N PARK ST |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-5440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1790063097 | Chelsea Carter-ellis | Audiologist | 124 N Park St, Asheboro, NC 27203-5440 | 2011-08-03 |
| 1619126992 | Randolph Specialty Group Practice | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2008-09-11 |
| 1265689152 | Whitney M Eanes | Audiologist | 124 N Park St, Asheboro, NC 27203-5440 | 2008-08-21 |
| 1831397363 | Brandon Ma | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1619126992 | Randolph Specialty Group Practice | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958229 | Gregory Allen Garth | Otolaryngology | 895 State Farm Road, Suite 301, Boone, NC 28607-4917 | 2008-07-07 |
| 1902822976 | John Brian Thomas Wood | Otolaryngology | 1141 North Road Street, Ste K, Elizabeth City, NC 27909 | 2006-07-14 |
| 1629048004 | Jared Spector | Otolaryngology | 601 Keisler Dr, Suite 200, Cary, NC 27518-6566 | 2006-01-26 |
| 1225037195 | Edward J Silvoy | Otolaryngology | 1010 X Ray Dr, Suite A, Gastonia, NC 28054-7488 | 2005-07-21 |
| 1053976415 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-01 |
| 1730639394 | Granville Health Inc. | Otolaryngology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2016-10-07 |
| 1043620347 | J Madison Clark Md Pllc | Otolaryngology | 1248 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8700 | 2014-05-07 |
| 1700084951 | High Country Ear Nose and Throat Pllc | Otolaryngology | 895 State Farm Rd, Ste 303, Boone, NC 28607 | 2007-07-10 |
| 1144305475 | Saint Blaise Ear Nose and Throat Pa | Otolaryngology | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-10-26 |
| 1164493342 | Charles H. Mann | Otolaryngology | 601 Keisler Dr, Suite 200, Cary, NC 27511-6566 | 2006-01-27 |
| 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.