Organization Active NPI

Hilton Head ENT & Sinus Center, PA

  • Otolaryngology Physician
  • Hilton Head Island, SC
National Provider Identifier
1225218100
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22130 Issued in SC
Legal business name
HILTON HEAD ENT & SINUS CENTER, PA
Practice address
23 Main St Ste 201
Hilton Head Island, SC 29926-6607
Phone
(843) 682-3955
Fax
(843) 682-3956
NPI assigned
Nov 8, 2007
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
David E Maurer, MDNPI 1154303881
Title
Office Manager
Phone
(843) 682-3955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 22130 SC Primary

Addresses

Primary practice location

23 Main St Ste 201
Hilton Head Island, SC 29926-6607

Mailing address

23 Main St Ste 201
Hilton Head Island, SC 29926-6607
Phone (843) 682-3955

Other identifiers 1

IdentifierTypeStateIssuer
GP3009MedicaidSC

National Provider Directory

National Provider Directory

Locations

10 Arley Way
#101
Bluffton, SC 29910
Phone (843) 682-3955

23 Main St
Ste 201
Hilton Head Island, SC 29926
Phone (843) 682-3955

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1225218100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE 201",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266607",
            "telephone_number": "843-682-3955",
            "fax_number": "843-682-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE 201",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266607",
            "telephone_number": "843-682-3955",
            "fax_number": "843-682-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD ENT & SINUS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-682-3955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "22130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.