Organization Active NPI

Ear, Nose & Throat Associates of Syracuse, P.C.

  • Specialist
  • Syracuse, NY
National Provider Identifier
1174622815
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2137340 Issued in NY
Legal business name
EAR, NOSE & THROAT ASSOCIATES OF SYRACUSE, P.C.
Practice address
406 University Ave
Syracuse, NY 13210-1803
Phone
(315) 472-4701
Fax
(315) 471-0411
NPI assigned
Sep 21, 2006
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. Frederick Sean Hodge, M.D.
Title
President
Phone
(315) 472-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2137340 NY Primary

Addresses

Primary practice location

406 University Ave
Syracuse, NY 13210-1803

Mailing address

406 University Ave
Syracuse, NY 13210-1803
Phone (315) 472-4701

National Provider Directory

National Provider Directory

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1174622815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 UNIVERSITY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101803",
            "telephone_number": "315-472-4701",
            "fax_number": "315-471-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 UNIVERSITY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101803",
            "telephone_number": "315-472-4701",
            "fax_number": "315-471-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT ASSOCIATES OF SYRACUSE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-472-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2137340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.