Active NPI
Western Carolina Ear Nose and Throat Specialists, PLLC
- Specialist
- Clyde, NC
National Provider Identifier
1154371763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 112126
- Legal business name
- WESTERN CAROLINA EAR NOSE AND THROAT SPECIALISTS, PLLC
- Practice address
- 63 Haywood Park Dr
Clyde, NC 28721-4404 - Phone
- (828) 627-1234
- Fax
- (828) 627-6706
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Christopher Todd Wenzel, M.D.
- Title
- Partner
- Phone
- (828) 627-1234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Clyde, NC
- NPI 1194464131
-
- Otolaryngology Physician
- Roanoke, VA
- NPI 1487649414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060303000343 | NC | Part B Supplier - Clinic/Group Practice | 5193731800 |
Receives reassigned benefits from 6 practitioners Practice locations: Clyde, NC |
National Provider Directory
National Provider DirectoryLocations
63 Haywood Park Dr
Clyde, NC 28721
Phone (828) 627-1234
171 Hospital Dr
Highlands, NC 28741
Phone (828) 526-0720
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIFHBD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 112126 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
63 Haywood Park Dr
Clyde, NC 28721-4404
Mailing address
63 Haywood Park Dr
Clyde, NC 28721-4404
Phone (828) 627-1234
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014VV | Other | NC | BC/BS |
| 89014VV | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2020.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593216000000",
"number": "1154371763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 HAYWOOD PARK DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287214404",
"telephone_number": "828-627-1234",
"fax_number": "877-898-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 HAYWOOD PARK DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287214404",
"telephone_number": "828-627-1234",
"fax_number": "828-627-6706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN CAROLINA EAR NOSE AND THROAT SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A",
"authorized_official_last_name": "WENZEL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "828-627-1234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "112126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "014VV",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014VV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, NC
- Maegan Coleen Weeks, PA-C
- Tina Wells
- Shelby Joanne Welter, PTA
- Christopher T Wenzel, M.D.
- Western Carolina Cardiology
- Western Carolina Orthopaedic Specialists, PA
- Western Carolina Physician Network
- Western Carolina Physician Network Inc
- Western Carolina Physician Network, Inc.
- Cheryl Durham Wheeler, APRN BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.