Organization Active NPI

Monroe Ear, Nose and Throat Associates, P.C.

  • Otolaryngology Physician
  • Monroe, MI
National Provider Identifier
1003091141
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.
Practice address
730 N Macomb St
Suite 320
Monroe, MI 48162-2900
Phone
(734) 243-5020
Fax
(734) 457-1970
NPI assigned
Jan 8, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Amdrew Karpenko, MD
Title
President
Phone
(734) 243-5020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

730 N Macomb St
Suite 320
Monroe, MI 48162-2900

Mailing address

730 N Macomb St
Suite 320
Monroe, MI 48162-2900
Phone (734) 243-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000117 MI Part B Supplier - Clinic/Group Practice 0143112771 Receives reassigned benefits from 3 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

321 Stewart Rd
Monroe, MI 48162
Phone (734) 243-5020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1003091141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622900",
            "telephone_number": "734-243-5020",
            "fax_number": "734-457-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622900",
            "telephone_number": "734-243-5020",
            "fax_number": "734-457-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "KARPENKO",
        "authorized_official_first_name": "AMDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-243-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.