Eastern ENT Sinus & Allergy Center, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

28594 Issued in NC

Legal business name

EASTERN ENT SINUS & ALLERGY CENTER, PA

Practice address

504 Balsey St
Clinton, NC 28328-2902

Phone

(910) 592-9993

Fax

(910) 593-9994

NPI assigned

Nov 7, 2008

Organization subpart

Yes

Parent organization

EASTERN ENT SINUS & ALLERGY CENTER, PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Whitley Jr., MD

Title

President

Phone

(919) 735-9146

Specialties & licenses 1

Addresses

Part of

Goldsboro ENT Associate

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1003060757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349458",
            "telephone_number": "919-735-9146",
            "fax_number": "919-735-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BALSEY ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282902",
            "telephone_number": "910-592-9993",
            "fax_number": "910-593-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ENT SINUS & ALLERGY CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN ENT SINUS & ALLERGY CENTER, PA",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-735-9146",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "28594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clinton, NC
• Providers in Clinton, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.