NPIMap

Organization Active NPI

Ear, Nose & Throat Associates of Worcester, Inc.

  • Otolaryngology Physician
  • Charlton, MA
National Provider Identifier
1285620609
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC.
Practice address
246 Southbridge Rd
Charlton, MA 01507-5237
Phone
(508) 980-7074
Fax
(508) 434-0821
NPI assigned
Sep 21, 2005
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Dr. Christopher C Charon, M.D.NPI 1831186840
Title
President
Phone
(508) 791-6305

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Audiologist 231H00000X NU
Assistive Technology Practitioner Audiologist 231HA2400X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

246 Southbridge Rd
Charlton, MA 01507-5237

Mailing address

246 Southbridge Rd
Charlton, MA 01507-5237
Phone (508) 980-7074

Other practice location 1

145 Pomfret St
Putnam, CT 06260-1803
Phone (860) 928-7330

Other identifiers 8

IdentifierTypeStateIssuer
3100227MedicaidMA
003119270MedicaidCT
003119288MedicaidCT
110034711AMedicaidMA
110006406AMedicaidMA
110068031AMedicaidMA
008049047MedicaidCT
110034395AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080917000152 MA Part B Supplier - Clinic/Group Practice 7416024419 Receives reassigned benefits from 8 practitioners
Practice locations: Charlton, MA
O20090519000142 CT Part B Supplier - Clinic/Group Practice 7416024419 Receives reassigned benefits from 5 practitioners
Practice locations: Putnam, CT; Charlton, MA

National Provider Directory

National Provider Directory

Locations

145 Pomfret St
Lowr
Putnam, CT 06260

246 Southbridge Rd
Charlton, MA 01507
Phone (508) 248-4801

246 Southbridge Rd
Lowr
Charlton, MA 01507
Phone (508) 980-7074

201 Highland St
#2
Clinton, MA 01510
Phone (978) 365-6673

100 South St
Ste 203
Southbridge, MA 01550
Phone (508) 765-5461

72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1285620609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOUTHBRIDGE RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075237",
            "telephone_number": "508-980-7074",
            "fax_number": "508-434-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SOUTHBRIDGE RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075237",
            "telephone_number": "508-980-7074",
            "fax_number": "508-434-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601803",
            "country_code": "US",
            "telephone_number": "860-928-7330",
            "fax_number": "860-928-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "CHARON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-791-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100227",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119270",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119288",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110034711A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110006406A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110068031A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008049047",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110034395A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.