Saint Blaise Ear Nose and Throat PA

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

SAINT BLAISE EAR NOSE AND THROAT PA

Practice address

9936 US Highway 311
Archdale, NC 27263-8826

Phone

(336) 883-2765

Fax

(336) 883-9066

NPI assigned

Oct 26, 2006

Last updated

Jul 10, 2008By 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. William Arnold Pincus, MD

Title

President

Phone

(336) 883-2765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1144305475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9936 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-883-2765",
            "fax_number": "336-883-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9936 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-883-2765",
            "fax_number": "336-883-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BLAISE EAR NOSE AND THROAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-883-2765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Archdale, NC
• Providers in Archdale, NC by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.