EAR, NOSE & THROAT HEALTH CENTER,LLC (NPI# 1922109313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922109313 |
| Entity Type | Organization |
| Organization Name | EAR, NOSE & THROAT HEALTH CENTER,LLC |
| Practice Address |
103 W Marion Ave Punta Gorda FL 33950-4403 |
| Practice Telephone | 9412055555 |
| Practice Fax Number | 9412055558 |
| Mailing Telephone | 9412055555 |
| Mailing Fax Number | 9412055558 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | DR. OLAWALE O IDEWU (OWNER) |
| Authorized Official Telephone | 9412352131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME80223 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262489300 | 05 |
| Street Address |
103 W MARION AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137932 | Olawale O Idewu | Otolaryngology | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2006-01-04 |
| 1225304009 | Ear,nose and Throat Health Center, LLC | Otolaryngology | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2012-03-27 |
| 1881903508 | Todd P Mangione Pllc | Surgery | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2010-09-29 |
| 1689735631 | Todd Paul Mangione | Surgery | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| 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 |
|---|---|---|---|---|
| 1851351407 | Catherine S Smith | Otolaryngology | 713 E Marion Ave Ste 133, Punta Gorda, FL 33950-3868 | 2006-03-27 |
| 1437137932 | Olawale O Idewu | Otolaryngology | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2006-01-04 |
| 1902888217 | Michael Stampar | Otolaryngology | 201 W Marion Ave, 1311, Punta Gorda, FL 33950-4450 | 2005-11-14 |
| 1740273481 | John A Moss | Otolaryngology | 6230 Scott St, Suite 111, Punta Gorda, FL 33950-3940 | 2005-08-29 |
| 1093100323 | John A Moss Md | Otolaryngology | 6230 Scott St, 111, Punta Gorda, FL 33950-3939 | 2015-04-03 |
| 1225304009 | Ear,nose and Throat Health Center, LLC | Otolaryngology | 103 W Marion Ave, Punta Gorda, FL 33950-4403 | 2012-03-27 |
| 1891704839 | Michael Lepore | Otolaryngology | 713 E Marion Ave Ste 133, Punta Gorda, FL 33950-3868 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on EAR, NOSE & THROAT HEALTH CENTER,LLC.
| 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.