Marthas Vineyard Ear Nose and Throat Specialists PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

MARTHAS VINEYARD EAR NOSE AND THROAT SPECIALISTS PC

Practice address

20 Indian Hill Rd
West Tisbury, MA 02575

Phone

(508) 367-7131

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Edward Caldwell, MD

Title

President

Phone

(508) 648-9468

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1386344331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MEETING HOUSE RD",
            "city": "CHILMARK",
            "state": "MA",
            "postal_code": "025352517",
            "telephone_number": "508-648-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 INDIAN HILL RD",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-367-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHAS VINEYARD EAR NOSE AND THROAT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-648-9468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Merrily Fischer, C.P.M.
• Leia Marie French, CPM
• Laurence Paul Greenberg, PT, MS, M.ED.
• Martha'S Vineyard Orthopedic Surgery and Sports Medicine
• Martha'S Vineyard Orthopedic Surgery and Sports Medicine
• Bryan P McShea, D.C.
• Karen F Meeks, LICSW
• Helen Neumann, LIC ACC
• Jessica E Oconnor, P.T.
• Basel Otoom

• Facial Plastic Surgery Physician in West Tisbury, MA
• Providers in West Tisbury, 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 8, 2023; 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.