NPIMap

Organization Active NPI

ENT Norwood LLC

  • Otolaryngology Physician
  • Norwood, MA
National Provider Identifier
1265749907
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT NORWOOD LLC
Practice address
825 Washington St
Suite 310
Norwood, MA 02062-3441
Phone
(781) 769-8910
Fax
(781) 255-9807
NPI assigned
Sep 1, 2010
Organization subpart
Yes
Parent organization
ENT SPECIALISTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Russell S. Shu, M.D.NPI 1134134422
Title
President
Phone
(781) 769-8910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

825 Washington St
Suite 310
Norwood, MA 02062-3441

Mailing address

825 Washington St
Suite 310
Norwood, MA 02062-3441
Phone (781) 769-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128002049 MA Part B Supplier - Clinic/Group Practice 9234476318 Receives reassigned benefits from 21 practitioners
Practice locations: Brockton, MA; Norwood, MA; Plainville, MA; Taunton, MA

National Provider Directory

National Provider Directory
Part of
ENT Specialists Inc

Locations

35 Pearl St
Ste 100
Brockton, MA 02301
Phone (508) 588-8034

35 Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 588-8034

825 Washington St
Ste 310
Norwood, MA 02062
Phone (508) 880-3460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFADAA

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1265749907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "address_2": "SUITE 310",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-8910",
            "fax_number": "781-255-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "address_2": "SUITE 310",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-8910",
            "fax_number": "781-255-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT NORWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENT SPECIALISTS, INC.",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-769-8910",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.