NPIMap

Organization Active NPI

Eye and Ear Clinic Physicians, Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Charleston, WV
National Provider Identifier
1043222961
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
00848 Issued in WV
Legal business name
EYE AND EAR CLINIC PHYSICIANS, INC
Practice address
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone
(304) 353-0222
Fax
(304) 353-0218
NPI assigned
Aug 12, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Ms. Christina Jane Arvon
Title
Administrator,Cpa
Phone
(304) 353-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 00848 WV Primary

Addresses

Primary practice location

1306 Kanawha Blvd E
Charleston, WV 25301-3001

Mailing address

1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 353-0222

Other identifiers 1

IdentifierTypeStateIssuer
0001157004MedicaidWV

National Provider Directory

National Provider Directory

Locations

400 Prestige Park Dr
#A
Hurricane, WV 25526
Phone (304) 562-1800

Practitioners & affiliated clinicians

Practitioners 12

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1043222961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013001",
            "telephone_number": "304-353-0222",
            "fax_number": "304-353-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013001",
            "telephone_number": "304-353-0222",
            "fax_number": "304-353-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE AND EAR CLINIC PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "ARVON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR,CPA",
        "authorized_official_telephone_number": "304-353-0303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WV",
            "license": "00848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001157004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.