ENT and Sinus Solutions LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ENT AND SINUS SOLUTIONS LLC

Practice address

4716 W Urbana St
Suite B
Broken Arrow, OK 74012-5997

Phone

(918) 872-9966

Fax

(918) 893-2043

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Cannen Ferrell

Title

Ceo

Phone

(918) 260-2093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1053782300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "address_2": "SUITE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-872-9966",
            "fax_number": "918-893-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "address_2": "SUITE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-872-9966",
            "fax_number": "918-893-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND SINUS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "CANNEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-260-2093"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.