Amelia Ear Nose & Throat PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME86839 Issued in FL

Legal business name

AMELIA EAR NOSE & THROAT PC

Practice address

1340 S 18TH St
Suite 102
Fernandina, FL 32034-4733

Phone

(904) 321-1417

Fax

(904) 321-1418

NPI assigned

Oct 23, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Bauer, M.D.NPI 1780638692

Title

Owner

Phone

(904) 321-1417

Specialties & licenses 1

Addresses

Locations

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.

• William Bauer, M.D.

  • Otolaryngology Physician
  • Fernandina, FL
  • NPI 1780638692
  Authorized official Same address or phone

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1215126586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "SUITE 102",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320344733",
            "telephone_number": "904-321-1417",
            "fax_number": "904-321-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "address_2": "SUITE 102",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320344733",
            "telephone_number": "904-321-1417",
            "fax_number": "904-321-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA EAR NOSE & THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-321-1417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME86839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy A Anderson, DPM
• William Bauer, M.D.
• Best Friends Home Care Solutions LLC
• Donald L Boyd, M. D.
• Comforcare LLC (Best Friends Companion Care)

• Otolaryngology Physician in Fernandina, FL
• Providers in Fernandina, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.