Illinois Ear, Nose and Throat Associates, P.C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

060002662 Issued in IL

Legal business name

ILLINOIS EAR, NOSE AND THROAT ASSOCIATES, P.C

Practice address

2120 Madison Ave
Suite 200
Granite City, IL 62040-4744

Phone

(618) 451-1800

Fax

(618) 451-1526

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Fierstein, M.D.

Title

President

Phone

(618) 451-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tibor Charles Kopjas, M.D.

  • Internal Medicine Physician
  • Maryville, IL
  • NPI 1952332918
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1184750127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVE",
            "address_2": "SUITE 200",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404744",
            "telephone_number": "618-451-1800",
            "fax_number": "618-451-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVE",
            "address_2": "SUITE 200",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404744",
            "telephone_number": "618-451-1800",
            "fax_number": "618-451-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS EAR, NOSE AND THROAT ASSOCIATES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FIERSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-451-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "060002662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CF4039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Mae Huffman
• Roberta June Hughes, APN
• Sherry Ann Huskamp, LPN
• Linda Hylla, LCSW
• Joan Frances Hynek, APN
• Illinois Eye Specialists
• Illinois/Indiana Em-I Medical Services, SC
• Megan M Ingersoll, RN, CRNA
• Kyle Brandon Ingram, PHARMD
• Interventional Pain Management Services LLC

• Otolaryngology Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Otolaryngology Physician in Illinois

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