Active NPI
Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.
- Hearing Aid Equipment
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Otolaryngology Physician
- Morganton, NC
- NPI 1043555899
O20100724000089
-
- Otolaryngology Physician
- Hickory, NC
- NPI 1831151539
O20100724000089
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Otolaryngology Physician
- Hickory, NC
- NPI 1174517189
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
- Carolina Dermatology, LLC
- Carolina Diagnostics, Inc
- Carolina Digestive Health Associates, PA (Carolina Digestive Endoscopy Center)
- Carolina Digestive Health Associates, PA
- Carolina Disc Associates, P.C.
- Carolina Endovascular and Interventional PLLC
- Carolina Essential Wellness
- Carolina Express Clinic
- Carolina Facial Plastics PLLC
- Carolina Family Alliance, Inc.
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.