Eastern ENT Sinus & Allergy Ctr. PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

24073 Issued in NC

Legal business name

EASTERN ENT SINUS & ALLERGY CTR. PA

Practice address

229 Professional Cir
Morehead City, NC 28557-4303

Phone

(252) 247-9296

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert W White

Title

Practice Administrator

Phone

(919) 735-9146

Specialties & licenses 1

Addresses

Other names 1

• Carteret Sleep Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1104011246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349458",
            "telephone_number": "919-735-9146",
            "fax_number": "919-735-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-247-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ENT SINUS & ALLERGY CTR. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-735-9146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "24073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carteret Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.