Active NPI
Montrose Ears, Nose and Throat Center, L.L.C.
- Otolaryngology Physician
- Montrose, CO
National Provider Identifier
1104018878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- PENDING
- Legal business name
- MONTROSE EARS, NOSE AND THROAT CENTER, L.L.C.
- Practice address
- 231 S Nevada Ave Ste a
Montrose, CO 81401-4233 - Phone
- (970) 249-3800
- Fax
- (970) 249-3838
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Edward Harper, M.D.
- Title
- President
- Phone
- (970) 249-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | PENDING | CO | Primary |
Addresses
Primary practice location
231 S Nevada Ave Ste a
Montrose, CO 81401-4233
Mailing address
231 S Nevada Ave Ste a
Montrose, CO 81401-4233
Phone (970) 249-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39176363 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
231 S Nevada Ave
Ste A
Montrose, CO 81401
Phone (970) 249-3800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Montrose, CO
- NPI 1457318529
-
- MOHS-Micrographic Surgery Physician
- Montrose, CO
- NPI 1811484843
-
- Audiologist
- Cheyenne, WY
- NPI 1609957059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1104018878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 S NEVADA AVE STE A",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014233",
"telephone_number": "970-249-3800",
"fax_number": "970-249-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S NEVADA AVE STE A",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014233",
"telephone_number": "970-249-3800",
"fax_number": "970-249-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTROSE EARS, NOSE AND THROAT CENTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-249-3800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CO",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39176363",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.