Ear, Nose, Throat Physicians of Eastern Ky

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

34477 Issued in KY

Legal business name

EAR, NOSE, THROAT PHYSICIANS OF EASTERN KY

Practice address

1330 S Mayo TRL
Pikeville, KY 41501-2321

Phone

(606) 432-0111

Fax

(606) 432-4272

NPI assigned

Apr 6, 2006

Last updated

Aug 22, 2020By 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

Suri Vanan

Title

MD

Phone

(606) 432-0111

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Julie A Jackson, ARNP

  • Nurse Practitioner
  • Harlan, KY
  • NPI 1790775526
  NPD (past)
• Surianarayanan Ambalavanan, MD

  • Otolaryngology Physician
  • Celina, OH
  • NPI 1922061910
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073575825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2140",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022140",
            "telephone_number": "606-432-0111",
            "fax_number": "606-432-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012321",
            "telephone_number": "606-432-0111",
            "fax_number": "606-432-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT PHYSICIANS OF EASTERN KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANAN",
        "authorized_official_first_name": "SURI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "606-432-0111"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "34477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000219680",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID",
            "identifier": "3810002865",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64344773",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil Duggal, MD
• Amanda Duncan
• Dungarvin Kentucky, LLC - Pikeville
• Elizabeth Dupre
• William E Duvall, M.D.
• East Kentucky After Hours Clinic
• East Kentucky After Hours Clinic PLLC
• East Kentucky Eye Ear Nose and Thorat Specialists LLC
• East Kentucky Eyecare PLLC
• East Kentucky Medical Associates

• Otolaryngology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.