Ear Nose & Throat Assc of Charl Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR NOSE & THROAT ASSC OF CHARL INC

Practice address

500 Donnally St
Suite 200
Charleston, WV 25301-1648

Phone

(304) 342-0124

Fax

(304) 340-2204

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Thomas Sporck, MD

Title

Physician Director

Phone

(304) 340-2225

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Charles D Crigger, MD

  • Otolaryngology Physician
  • Gallipolis, OH
  • NPI 1386640662
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295735850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1628",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253261628",
            "telephone_number": "304-340-2225",
            "fax_number": "304-340-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DONNALLY ST",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011648",
            "telephone_number": "304-342-0124",
            "fax_number": "304-340-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT ASSC OF CHARL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SPORCK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN DIRECTOR",
        "authorized_official_telephone_number": "304-340-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008888000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA7089",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0778148001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagle Home Healthcare LLC
• Eagle Pharmacy LLC
• Kelli Eagle
• Candace Ealey
• Kieri Ealm
• Ear, Nose & Throat Physicians and Surgeons of Charleston, PLLC
• Elizabeth M Earles, MA.MA.MSW
• John David Earley
• Jerry L Early
• Savana Beth Earnest, M.A, ED.S, NCSP

• Otolaryngology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.