Organization Active NPI

Total ENT Care LLC

  • Otolaryngology Physician
  • Reisterstown, MD
National Provider Identifier
1275392441
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TOTAL ENT CARE LLC
Practice address
120 Westminster Pike
Suite 106
Reisterstown, MD 21136
Phone
(410) 889-0795
Fax
(877) 766-8925
NPI assigned
Mar 18, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Kiok Lisa Sohn
Title
Manager
Phone
(410) 889-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

120 Westminster Pike
Suite 106
Reisterstown, MD 21136

Mailing address

2329 Willow Vale Dr
Fallston, MD 21047-1504
Phone (410) 889-0795

National Provider Directory

National Provider Directory
Tax ID family
Total ENT Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

120 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 833-9353

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1275392441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 WILLOW VALE DR",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471504",
            "telephone_number": "410-889-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WESTMINSTER PIKE",
            "address_2": "SUITE 106",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-26",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "KIOK",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-889-0795"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.