Philadelphia Ear, Nose & Throat Surgical Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD017012E Issued in PA

Legal business name

PHILADELPHIA EAR, NOSE & THROAT SURGICAL ASSOCIATES, PC

Practice address

2340 E Allegheny Ave
Phila, PA 19134-4433

Phone

(215) 423-6670

Fax

(215) 423-7787

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rosellen Meehan Tomczak

Title

Administrator

Phone

(215) 423-6670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1326076316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E ALLEGHENY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344433",
            "telephone_number": "215-423-6670",
            "fax_number": "215-423-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E ALLEGHENY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344433",
            "telephone_number": "215-423-6670",
            "fax_number": "215-423-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA EAR, NOSE & THROAT SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "TOMCZAK",
        "authorized_official_first_name": "ROSELLEN",
        "authorized_official_middle_name": "MEEHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-423-6670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD017012E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakia Perry-Goffney
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• Phila Health Management Corp
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• Philadelphia Podiatry Group
• Philip C Stein DDS PC
• Kenyatta Kaream Phillips, B.S.

• Specialist in Phila, PA
• Providers in Phila, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.