Ear Nose Throat and Allergy Center PLLC

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

3797 Issued in OK

Legal business name

EAR NOSE THROAT AND ALLERGY CENTER PLLC

Practice address

1715 N Lynn Riggs Blvd
Claremore, OK 74017-3056

Phone

(918) 341-5088

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamine Mark Welch, D.O.NPI 1679527337

Title

Owner

Phone

(918) 341-5088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Benjamine Mark Welch, DO

  • Otolaryngic Allergy Physician
  • Claremore, OK
  • NPI 1679527337
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1386826626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3500",
            "address_2": "DEPT. 607",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740183500",
            "telephone_number": "918-341-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173056",
            "telephone_number": "918-341-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT AND ALLERGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BENJAMINE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-341-5088",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "OK",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Dutton
• Kimberly Renee Dutton
• Charles H Dye, D.C.
• Brittany Dyer
• John Charles Eakle, PHARM.D.
• Heather Early, LPC-C
• Charity Dawn Earnhardt, PHARM D
• Regina East, MHR., PHD.
• Susan Ashley East
• Linda Edens, RN

• Otolaryngology Physician in Claremore, OK
• Providers in Claremore, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.