Northland Ear, Nose & Throat Associates, P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

460 Issued in MN

Legal business name

NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.

Practice address

920 E 1St Street
Suite 301
Duluth, MN 55805

Phone

(218) 279-6279

Fax

(218) 279-6280

NPI assigned

Nov 11, 2005

Last updated

Jan 2, 2015By 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

David Mark Choquette, M.D.NPI 1609857101

Title

Ceo

Phone

(218) 279-6279

Specialties & licenses 2

Addresses

Other identifiers 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.

• David M Choquette, MD

  • Otolaryngology Physician
  • Duluth, MN
  • NPI 1609857101
  Authorized official Same address or phone

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1396726659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 1ST STREET",
            "address_2": "SUITE 301",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-279-6279",
            "fax_number": "218-279-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 1ST STREET",
            "address_2": "SUITE 301",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-279-6279",
            "fax_number": "218-279-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "CHOQUETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-279-6279",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3648109",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northland Afc,Inc
• Northland Afc,Inc
• Northland Afc,Inc
• Northland Family Physicians, LTD.
• Northland Family Programs
• Northland Gastroenterology PA
• Northland Hearing Centers, Inc. (Northstar Hearing Center)
• Northland OB-GYN Associates

• Otolaryngology Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Otolaryngology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.