Organization Active NPI

Huntsville Ear,Nose and Throat Physicians P.C.

  • Otolaryngology Physician
  • Huntsville, AL
National Provider Identifier
1124168349
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00023611 Issued in AL
Legal business name
HUNTSVILLE EAR,NOSE AND THROAT PHYSICIANS P.C.
Practice address
285 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 882-0165
Fax
(256) 882-7846
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Neeta Kohli-Dang, MDNPI 1235189465
Title
Doctor
Phone
(256) 882-0165

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 00023611 AL Primary

Addresses

Primary practice location

285 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

285 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-0165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001356 AL Part B Supplier - Clinic/Group Practice 2769452606 Receives reassigned benefits from 5 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

285 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 882-0165

101 Westover Cir
Ste C
Madison, AL 35758
Phone (256) 461-0209

101 Westover Cir
Ste A
Madison, AL 35758
Phone (256) 461-0209

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1124168349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-0165",
            "fax_number": "256-882-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-0165",
            "fax_number": "256-882-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE EAR,NOSE AND THROAT PHYSICIANS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "KOHLI-DANG",
        "authorized_official_first_name": "NEETA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-882-0165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00023611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.