Ear Nose Throat & Audiology Associates of the Carolinas, P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR NOSE THROAT & AUDIOLOGY ASSOCIATES OF THE CAROLINAS, P.A.

Practice address

7006 Shannon Willow Rd
Charlotte, NC 28226-1318

Phone

(704) 544-6533

Fax

(704) 544-6583

NPI assigned

May 22, 2006

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

EAR NOSE THROAT & AUDIOLOGY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Leroy Broadnax

Title

Office Manager

Phone

(704) 544-6533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Ear Nose Throat Audiology

Locations

Practitioners 6

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.

• Wayne Douglas Wilkens Jr., NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1164942892
  Medicare reassignment NPD
• Andrea M Williams, MD

  • Otolaryngology Physician
  • Charlotte, NC
  • NPI 1992759971
  Medicare reassignment NPD
• Josselyn Cash, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1730690397

  NC

  Medicare reassignment NPD
• Pamela Randall Packard

  • Otolaryngic Allergy Physician
  • Gaffney, SC
  • NPI 1245009927

  NC

  Medicare reassignment NPD
• Luna Bailey, MD

  • Otolaryngology Physician
  • Gastonia, NC
  • NPI 1174577142
  NPD (past)
• Jonathan Sol Kulbersh, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1124117486
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1093769069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 PINEVILLE MATTHEWS RD",
            "address_2": "STE 103151",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263774",
            "telephone_number": "704-544-6533",
            "fax_number": "704-544-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 SHANNON WILLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "704-544-6533",
            "fax_number": "704-544-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT & AUDIOLOGY ASSOCIATES OF THE CAROLINAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR NOSE THROAT & AUDIOLOGY ASSOCIATES",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BROADNAX",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-544-6533"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134F5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathyrn Grace Eaker, MD
• Tracy Nicole Eakins, SLP
• Eric Scott Eanes, MD
• Robin Taylor Eanes, AGNP-C
• Leang K. Eap, N.D.
• Ear RX, Inc.
• Terilynn Suenai Ear
• Earl J Epps Jr MD PA
• Kristina Ansley Earle, CRNA
• Jennifer Johns Earles, RD

• Otolaryngology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.