Providence Ear Nose & Throat Associates Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC

Practice address

2112 Providence Ave
Chester, PA 19013-5507

Phone

(610) 874-5366

Fax

(610) 874-8448

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

John M Feehery, MDNPI 1396826061

Title

Authorized Official

Phone

(610) 874-5366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 19

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

• John M Feehery, MD

  • Otolaryngology Physician
  • Chester, PA
  • NPI 1396826061
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth B. Briskin, MD

  • Otolaryngology Physician
  • Chester, PA
  • NPI 1770664419
  Medicare reassignment Care Compare group NPD
• Mark A. Ginsburg, DO

  • Otolaryngology Physician
  • Chester, PA
  • NPI 1326280009
  Medicare reassignment Care Compare group NPD
• Madelyn Ilyse Gubernick, AUD, CCC-A

  • Audiologist
  • Chester, PA
  • NPI 1427605914
  Medicare reassignment Care Compare group NPD
• Julie Anne Jimenez, AUD

  • Audiologist
  • Chester, PA
  • NPI 1427732767
  Medicare reassignment Care Compare group NPD
• Kerry A Laub, AU.D.

  • Audiologist
  • Chester, PA
  • NPI 1467971754
  Medicare reassignment Care Compare group NPD
• Cassidy Anne McMonigle, AU.D

  • Audiologist
  • Philadelphia, PA
  • NPI 1023675899
  Medicare reassignment Care Compare group NPD
• Joel R Perloff, MD

  • Otolaryngology Physician
  • Chester, PA
  • NPI 1205917820
  Medicare reassignment Care Compare group NPD
• Jessica Witt, AUD

  • Audiologist
  • Chester, PA
  • NPI 1952086175
  Medicare reassignment Care Compare group NPD
• Sandra Markowitz, MS, CCC-A

  • Audiologist
  • Philadelphia, PA
  • NPI 1851471239
  Medicare reassignment Care Compare group
• Caitlyn Mierau, PA-C

  • Physician Assistant
  • Chester, PA
  • NPI 1992279590
  Medicare reassignment Care Compare group
• Gianna Rafetto, PA-C

  • Physician Assistant
  • Chester, PA
  • NPI 1285174847
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1366523904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "FEEHERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-874-5366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000686231",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prospect Health Access Network, Inc.
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• Prospect Health Access Network, Inc.
• Prospect Health Access Network, Inc.
• Providence Hearing Aid Center
• Nelson Prus III, MD
• Psuche
• Pulmonary Consultants Inc.
• Erin Pusz, DO

• Otolaryngology Physician in Chester, PA
• Providers in Chester, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.