NPIMap

Organization Active NPI

Ear, Nose, Throat, and Allergy Specialists

  • Otolaryngology Physician
  • Jasper, GA
National Provider Identifier
1265865232
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
30684 Issued in GA
Legal business name
EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS
Practice address
80A Interstate South Dr
Jasper, GA 30143-6226
Phone
(770) 345-6600
Fax
(770) 345-6611
NPI assigned
Aug 14, 2013
Organization subpart
Yes
Parent organization
EAR, NOSE, THROAT, AND ALLERGY SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Ronald Van Tuyl Jr., M.DNPI 1447260633
Title
President
Phone
(770) 345-6600

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 30684 GA Primary

Addresses

Primary practice location

80A Interstate South Dr
Jasper, GA 30143-6226

Mailing address

80A Interstate South Dr
Jasper, GA 30143-6226
Phone (770) 345-6600

National Provider Directory

National Provider Directory
Tax ID family
Ear Nose Throat Special2 organizations share this tax ID, including this one
Part of
Ear Nose Throat Special

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80A Interstate South Dr
Jasper, GA 30143
Phone (770) 345-6600

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1265865232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80A INTERSTATE SOUTH DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301436226",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80A INTERSTATE SOUTH DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301436226",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "VAN TUYL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-345-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "30684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.