ENT Surgery Associates, LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

72421 Issued in MA

Legal business name

ENT SURGERY ASSOCIATES, LLC

Practice address

725 Concord Ave
2300
Cambridge, MA 02138-1040

Phone

(617) 499-9933

Fax

(617) 499-9935

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

John Jamoulis Jameson, M.D.

Title

Owner

Phone

(617) 499-9933

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1356682033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "2300",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-499-9933",
            "fax_number": "617-499-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "2300",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-499-9933",
            "fax_number": "617-499-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMOULIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-499-9933",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "72421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110049047",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ryan England
• Caleb H Englander, LICSW
• Maria Daniela Enriquez
• Trevor Ensign, PT
• ENT Surgery Associates LLC
• Fatemeh Entekhabi, M.D.
• Audrey Entin
• Jonathan Joshua Entis, PH.D
• Jennah Buckaroo Epstein-Santoyo
• Ann R Epstein, MD

• Facial Plastic Surgery Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Facial Plastic Surgery Physician in Massachusetts

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