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

Last updated

Jun 21, 2022By 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

Dr. Angela Powell, MDNPI 1215005699

Title

Owner

Phone

(518) 566-7930

Specialties & licenses 1

Addresses

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.

• Angela M Powell, MD

  • Otolaryngology Physician
  • Plattsburgh, NY
  • NPI 1215005699
  Authorized official Same address or phone
• 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": [],
    "endpoints": [],
    "other_names": []
}

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• 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.