Southern ENT & Sinus Center, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHERN ENT & SINUS CENTER, P.C.

Practice address

1809 Gadsden Hwy
Birmingham, AL 35235-3134

Phone

(205) 838-3755

Fax

(205) 838-3758

NPI assigned

Dec 28, 2006

Last updated

Jan 21, 2014By 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

John Arris Jebeles, M.D.NPI 1306888326

Title

President

Phone

(205) 838-3755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Matthew Fort

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1760801039
  Medicare reassignment Care Compare group NPD
• John Arris Jebeles, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1306888326
  Medicare reassignment NPD Authorized official
• Douglas Trenton Lowery, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1609819168
  Medicare reassignment Care Compare group NPD
• David Michael Walters, MD

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1093938615
  Medicare reassignment Care Compare group NPD
• Kaci Weaver

  • Acute Care Nurse Practitioner
  • Birmingham, AL
  • NPI 1740670280
  Medicare reassignment NPD
• Emily Harper, AUD

  • Audiologist
  • Birmingham, AL
  • NPI 1336066455
  NPD (past)
• Laura McGarr, CCC-SLP

  • Speech-Language Pathologist
  • Birmingham, AL
  • NPI 1821645219
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1235295973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3755",
            "fax_number": "205-838-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3755",
            "fax_number": "205-838-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENT & SINUS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "JEBELES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-838-3755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.