Organization Active NPI

Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.

  • Hearing Aid Equipment
  • Charlotte, NC
National Provider Identifier
1386752095
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.
Practice address
135 S Sharon Amity Rd
Suite 208
Charlotte, NC 28211-2842
Phone
(704) 342-3402
Fax
(704) 366-6580
NPI assigned
Aug 25, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Willard Cardwell Harrill, M.D.NPI 1174517189
Title
President
Phone
(704) 342-3402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X NU Primary

Addresses

Primary practice location

135 S Sharon Amity Rd
Suite 208
Charlotte, NC 28211-2842

Mailing address

256C 10TH Ave NE
Hickory, NC 28601-3832
Phone (828) 322-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100724000089 NC Part B Supplier - Clinic/Group Practice 9830101476 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickory, NC; Lenoir, NC; Lincolnton, NC; Morganton, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1386752095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256C 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013832",
            "telephone_number": "828-322-2183",
            "fax_number": "828-328-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-342-3402",
            "fax_number": "704-366-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HARRILL",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "CARDWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-342-3402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.