Active NPI
North Oakland Ear Nose &Throat Centers PC
- Otolaryngology Physician
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NORTH OAKLAND EAR NOSE &THROAT CENTERS PC
- Practice address
- 5701 Bow Pointe Dr
Suite 200
Clarkston, MI 48346-3198 - Phone
- (248) 620-3100
- Fax
- (248) 620-3019
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl Shermetaro, D.O.
- Title
- President
- Phone
- (248) 620-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
5701 Bow Pointe Dr
Suite 200
Clarkston, MI 48346-3198
Mailing address
5701 Bow Pointe Dr
Suite 200
Clarkston, MI 48346-3198
Phone (248) 620-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013026855 | Medicaid | MI | |
| 040F374250 | Other | MI | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | noent@comcast.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5701 Bow Pointe Dr
Ste 200
Clarkston, MI 48346
Phone (248) 620-3100
6770 Dixie Hwy
Ste 302
Clarkston, MI 48346
Phone (248) 620-3100
951 S Main St
Ste 200
Lapeer, MI 48446
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Clarkston, MI
- NPI 1700994530
-
- Otolaryngology Physician
- Clarkston, MI
- NPI 1518076348
-
- Otolaryngology Physician
- Clarkston, MI
- NPI 1003924820
-
- Audiologist
- Lapeer, MI
- NPI 1972531770
-
- Audiologist
- Clarkston, MI
- NPI 1841441391
-
- Hearing Instrument Specialist
- Lapeer, MI
- NPI 1043596372
-
- Audiologist-Hearing Aid Fitter
- Waterford, MI
- NPI 1902957517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665532800000",
"number": "1013026855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DR",
"address_2": "SUITE 200",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463198",
"telephone_number": "248-620-3100",
"fax_number": "248-620-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DR",
"address_2": "SUITE 200",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463198",
"telephone_number": "248-620-3100",
"fax_number": "248-620-3019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH OAKLAND EAR NOSE &THROAT CENTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "SHERMETARO",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-620-3100",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013026855",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "040F374250",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "noent@comcast.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5701 Bow Pointe Dr",
"address_2": "Suite 200",
"city": "Clarkston",
"state": "MI",
"country_code": "US",
"postal_code": "483463198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.