Shoals Ear Nose & Throat Group PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

10880 Issued in AL

Legal business name

SHOALS EAR NOSE & THROAT GROUP PC

Practice address

421 Cox Blvd
Sheffield, AL 35660

Phone

(256) 386-7040

Fax

(256) 383-7808

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Long

Title

Administrator

Phone

(256) 386-7040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• F Allen Long MD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ann Archer, CRNP

  • Family Nurse Practitioner
  • Florence, AL
  • NPI 1215185046
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124105671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-7040",
            "fax_number": "256-383-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-7040",
            "fax_number": "256-383-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS EAR NOSE & THROAT GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-386-7040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "10880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51011662",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F Allen Long MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Jessica Sharp
• Sheffield City
• Amber Beasley Shell, CRNP
• Christina Albright Sherer, CRNP
• Jon Alan Sherrod, MD
• Shoals Gastroenterology LLC
• Shoals Medical Group, LLC
• Shoals Medical Trials, Inc.
• Shoals Pathology Services, LLC
• Shoals Primary Care, LLC

• Otolaryngology Physician in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.