Northern Pines Ear Nose and Throat SC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

44656 Issued in WI

Legal business name

NORTHERN PINES EAR NOSE AND THROAT SC

Practice address

4956 Bullis Farm Rd
Eau Claire, WI 54701

Phone

(715) 831-3300

Fax

(715) 831-7958

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Lee Facer, DO

Title

Otolaryngologist

Phone

(715) 831-3300

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1235281189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 BULLIS FARM RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-831-3300",
            "fax_number": "715-831-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 BULLIS FARM RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-831-3300",
            "fax_number": "715-831-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES EAR NOSE AND THROAT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "FACER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "715-831-3300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "44656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "102518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43498800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley G Norman, MD
• Cassandra Marie Normand
• North American Partners in Anesthesia Wisconsin SC
• Taylor Jackson North, DO, MS
• Northern Lights Psychiatric Services SC
• Northern Woods Wellness LLC
• Northwest Journey - Eau Claire
• Northwest Radiation Oncology Associates, SC
• Linda L Norton, CSAC
• Heather D Noteboom, APRN-CNP

• Otolaryngology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.