Plattsburgh ENT

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PLATTSBURGH ENT

Practice address

79 Hammond LN Ste 12
Plattsburgh, NY 12901-2008

Phone

(518) 566-7930

Fax

(518) 566-7932

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Angela Powell, MD

Title

Owner

Phone

(518) 566-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacques Piche, M.D., F.R.S.C. (C)

  • Otolaryngology Physician
  • Plattsburgh, NY
  • NPI 1922078997
  NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1093446262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BOYNTON AVE STE 306",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011241",
            "telephone_number": "518-566-3074",
            "fax_number": "518-566-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-566-7930",
            "fax_number": "518-566-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTSBURGH ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-566-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "05932430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plattsburgh Alr, Inc.
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• Plattsburgh Associates LLC
• Plattsburgh City School District
• Plattsburgh Dental Plaza, P.C.
• Plattsburgh Hearing
• Plattsburgh Internal Medicine
• Plattsburgh Medical Care, PLLC
• Plattsburgh Oral Surgery PC
• Plattsburgh Otolaryngology-Head and Neck Surgery, PLLC

• Otolaryngology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.