Organization Active NPI

Ears, Nose & Throat Consultants of Virginia, P.C.

  • Specialist
  • Charlottesville, VA
National Provider Identifier
1174614028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EARS, NOSE & THROAT CONSULTANTS OF VIRGINIA, P.C.
Practice address
1000 E High St
Suite a
Charlottesville, VA 22902-4848
Phone
(434) 817-2300
Fax
(434) 817-2306
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles M Johnson III, MD
Title
President
Phone
(434) 817-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X VA Primary

Addresses

Primary practice location

1000 E High St
Suite a
Charlottesville, VA 22902-4848

Mailing address

1000 E High St
Suite a
Charlottesville, VA 22902-4848
Phone (434) 817-2300

National Provider Directory

National Provider Directory

Locations

1000 E High St
Ste A
Charlottesvle, VA 22902
Phone (434) 817-2300

1445 Rio Road East
Ste 101
Charlottesvle, VA 22901
Phone (804) 973-4040

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174614028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E HIGH ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024848",
            "telephone_number": "434-817-2300",
            "fax_number": "434-817-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HIGH ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024848",
            "telephone_number": "434-817-2300",
            "fax_number": "434-817-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARS, NOSE & THROAT CONSULTANTS OF VIRGINIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-817-2300",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.