The Ear Nose and Throat Surgical Associates PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA

Practice address

133 Benmore Dr
Suite 100
Winter Park, FL 32792-4143

Phone

(407) 644-4883

Fax

(407) 644-3697

NPI assigned

Jan 9, 2006

Last updated

Jan 8, 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. Jeffrey Lehman, MDNPI 1972505204

Title

President

Phone

(407) 644-4883

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 81

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.

• Jeffrey Lehman, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1972505204
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Baylor, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1699779959
  Medicare reassignment Care Compare group NPD
• Cynthia Chen, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1033352174
  Medicare reassignment Care Compare group NPD
• Robert Patrick Collette, M.D.

  • Otolaryngology Physician
  • Orange City, FL
  • NPI 1659332732
  Medicare reassignment Care Compare group NPD
• Caitlin K Curry, AUD

  • Audiologist
  • Winter Park, FL
  • NPI 1275265316
  Medicare reassignment Care Compare group NPD
• Elizabeth Justine Deberry, C.R.N.P.

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1073896338
  Medicare reassignment Care Compare group NPD
• Alvin Tracey Detorres, M.D.

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1215355086

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Martine Kay Fenstermacher, AU.D., CCC-A

  • Audiologist
  • Winter Park, FL
  • NPI 1417486390
  Medicare reassignment Care Compare group NPD
• Camilo D Fernandez-Salvador, M.D

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1386057255
  Medicare reassignment Care Compare group NPD
• Kelli Morris Ferry, AUD

  • Audiologist
  • Winter Park, FL
  • NPI 1427037761
  Medicare reassignment Care Compare group NPD
• Carla E Fortune, AUD

  • Audiologist
  • Winter Park, FL
  • NPI 1982621579
  Medicare reassignment Care Compare group NPD
• Meghan Claire Gilbert, AUD

  • Audiologist
  • Orlando, FL
  • NPI 1265509301
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1114905148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924143",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924143",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-4883",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C31310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB0799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "24437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375028100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB0800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.