Entlc, PSC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35183 Issued in KY

Legal business name

ENTLC, PSC

Practice address

491 Tucker Dr
Maysville, KY 41056-9111

Phone

(606) 759-4852

Fax

(606) 759-0112

NPI assigned

Oct 19, 2007

Last updated

Jun 13, 2013By 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. Paul A Conrad, M.D., F.A.C.S.

Title

President

Phone

(606) 759-4852

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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.

• Leslie Ann Asbury, M.D.

  • Otolaryngology Physician
  • Versailles, KY
  • NPI 1215054556
  NPD (past)
• Atheana M Meadows, MA, CCC-A

  • Audiologist
  • Maysville, KY
  • NPI 1558535153
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1124217765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 TUCKER DRIVE",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4852",
            "fax_number": "606-759-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4852",
            "fax_number": "606-759-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTLC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-759-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6223P",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "35183",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0478",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "0946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Poe Egan, A.R.N.P.
• Jessica Elie, CSW
• Katie Grimes Ellis, MAED, CCC/SLP
• Stacey L Emmons, PHARM.D.
• Tosha Chenelle Emmons
• Envision Behavioral Health Services, Inc.
• Tera Evans, CSW
• Eyecare Network LTD
• Eyecare Network LTD
• Eyecare Network LTD

• Otolaryngology Physician in Maysville, KY
• Providers in Maysville, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.