Southwest Ear, Nose, & Throat Specialists

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS

Practice address

1760 McCulloch Blvd N Ste 100
Lake Havasu City, AZ 86403-6559

Phone

(928) 854-5368

Fax

(928) 854-4462

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Adrienne Adair Prater

Title

Manager

Phone

(928) 486-3934

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Michael Edward Prater, M.D.

  • Otolaryngology Physician
  • Lake Havasu City, AZ
  • NPI 1598723173
  NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1093348096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HOGAN LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068242",
            "telephone_number": "928-486-3934",
            "fax_number": "928-854-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MCCULLOCH BLVD N STE 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036559",
            "telephone_number": "928-854-5368",
            "fax_number": "928-854-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ADAIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-486-3934"
    },
    "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": "515877",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somewhere Out of the Box (Milemarkers)
• Catherine Evelyn Sondrol, MOTRL
• Edouard Sorkin, DDS
• Southwest Behavioral Health Services, Inc.
• Southwest Ear, Nose & Throat, PLLC
• Southwest Surgery, L.L.C.
• Southwest Surgery, LLC
• Rian William Spear, PHARMD
• Peter Walmy St Louis Angervil
• Yvonne St. John, RN

• Otolaryngology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.