CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA (NPI# 1750788675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750788675 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA |
| Practice Address |
1698 Highway 160 W Suite 240 Fort Mill SC 29708-8032 |
| Mailing Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 8035473800 |
| Practice Fax Number | 8035473803 |
| Mailing Telephone | 7042953000 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | DR. JAG S GILL (CEO) |
| Authorized Official Telephone | 7042953000 |
| Authorized Official Credential | SCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Sutton Rd S Ste 201, Fort Mill, SC 297158439 | 8035473800 | 8035473803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1710271507 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 2614 E 7th St, Charlotte, NC 28204-4375 | 2011-06-09 |
| 1982899035 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1223 Spruce St, Belmont, NC 28012-3371 | 2007-09-12 |
| 1346435922 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 33 Lake Concord Rd Ne, Concord, NC 28025-3015 | 2007-09-07 |
| 1659778579 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 838 W Meeting St, Suite C, Lancaster, SC 29720-6233 | 2014-11-20 |
| 1922405844 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1 Medical Park Dr, Suite 1b, Chester, SC 29706-9769 | 2014-11-20 |
| 1770994352 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1908 Hilco St, Suite A, Albemarle, NC 28001-6388 | 2014-05-16 |
| 1801217948 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2013-12-16 |
| 1386077709 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 315 Mocksville Ave, Salisbury, NC 28144-3327 | 2013-08-21 |
| Street Address |
1698 HIGHWAY 160 W SUITE 240 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972536878 | Susan Jo Start | Pediatrics | 1698 Highway 160 W, Suite 220, Fort Mill, SC 29708-8032 | 2006-07-07 |
| 1356702799 | Courtney Guerrieri | Occupational Therapist | 1698 Highway 160 W, #200, Fort Mill, SC 29708-8032 | 2016-03-13 |
| 1568858900 | Swalley Chiropractic LLC | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2015-04-13 |
| 1285055657 | Emma Cecilia Jusseaume | Physician Assistant | 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708-8032 | 2014-01-02 |
| 1912346081 | Lataya Redfern | Chiropractor | 1698 Highway 160 W, Suite 210, Fort Mill, SC 29708-8032 | 2013-06-21 |
| 1679918221 | Nicole Clamp | Nurse Practitioner | 1698 Highway 160 W, Suite 210, Fort Mill, SC 29708-8032 | 2013-05-08 |
| 1811330681 | Micah Wade Swalley | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2013-04-11 |
| 1598024580 | Infinite Rejuvenation LLC | Non-Pharmacy Dispensing Site | 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708-8032 | 2012-05-10 |
| 1124395397 | Gonstead Chiropractic, Pa | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2011-11-16 |
| 1720362460 | Hermann Ritchie | Chiropractor | 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708-8032 | 2011-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1992316764 | Carolina Pines Ear Nose Throat & Allergy Associates LLC | Otolaryngology | 2032 Medical Park Dr, Newberry, SC 29108-2248 | 2020-08-13 |
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1427377076 | Sarah Jane Novis | Otolaryngology | 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 | 2010-05-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1285825240 | Daniel Mcqueen Ervin | Otolaryngology | 1523 B Heritage Lane, Florence, SC 29505-3197 | 2007-08-06 |
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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.