Organization Active NPI

Western Carolina Ear Nose and Throat Specialists, PLLC

  • Specialist
  • Clyde, NC
National Provider Identifier
1154371763
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
112126 Issued in NC
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.NPI 1356336697
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060303000343 NC Part B Supplier - Clinic/Group Practice 5193731800 Receives reassigned benefits from 6 practitioners
Practice locations: Clyde, NC

National Provider Directory

National Provider Directory

Locations

63 Haywood Park Dr
Clyde, NC 28721
Phone (828) 627-1234

171 Hospital Dr
Highlands, NC 28741
Phone (828) 526-0720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFHBD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 112126 NC Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
014VVOtherNCBC/BS
89014VVMedicaidNC

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

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.

Verify at the official NPI Registry.