Ear,Nose,Throat & Allergy Associates PS

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS

Practice address

104 27TH Ave SE
Puyallup, WA 98374-1145

Phone

(253) 770-8454

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Randall Bennett

Title

Owner

Phone

(253) 770-8454

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Wendy Marie Baggott, AUD

  • Audiologist
  • Federal Way, WA
  • NPI 1366783300
  NPD (past)
• Julie Allina Gustafson, M.D.

  • Otolaryngology Physician
  • Puyallup, WA
  • NPI 1508902081
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1154488732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741145",
            "telephone_number": "253-770-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741145",
            "telephone_number": "253-770-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-770-8454"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7078017",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Christopher Dyer, PHARMD
• Elissa Jeane Dykman, O.T.
• Sheridan A Ealey
• Ear Nose Throat & Plastic Surgery Associates of the South Sound PS
• Ear, Nose, Throat & Allergy Assoicaties PS
• Ear,Nose,Throat &Allergy Associates PS
• Stacy Marie Earl, COTA/L
• Kevin Michael Earle, DC, CCEP
• Timothy P Earnest, M.D.
• Morgan Taylor Easley, LMT

• Specialist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.