U P Otolaryngology PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

U P OTOLARYNGOLOGY PC

Practice address

2525 5TH Avenue South
Escanaba, MI 49829

Phone

(906) 786-6047

Fax

(906) 786-0660

NPI assigned

Apr 18, 2006

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John A Klim, DONPI 1174588164

Title

President Secretary

Phone

(906) 786-6047

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• John A Klim, DO

  • Otolaryngology Physician
  • Escanaba, MI
  • NPI 1174588164
  Authorized official Same address or phone
• Elizabeth K Wilson, DO

  • Family Medicine Physician
  • Escanaba, MI
  • NPI 1144214842
  NPD (past)
• Vijaya K Munagala, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Green Bay, WI
  • NPI 1780644666
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1053376731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 5TH AVENUE SOUTH",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "49829",
            "telephone_number": "906-786-6047",
            "fax_number": "906-786-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 5TH AVENUE SOUTH",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "49829",
            "telephone_number": "906-786-6047",
            "fax_number": "906-786-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U P OTOLARYNGOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "KLIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY",
        "authorized_official_telephone_number": "906-786-6047",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0B11004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CG4010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathyn A Thompson
• Patricia Ann Tighe
• Mary Lee Tobin-Anderson, MD
• Mary Diane Tryan, LMSW
• Georgena E Turner, OT
• Perry Charles Uhazie, DDS
• Up Bras That Fit Inc
• Up Optometry
• Up Transformations LLC
• Upcap Services, Inc.

• Otolaryngology Physician in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.