ENT of Atlanta LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT OF ATLANTA LLC

Practice address

4380 Georgetown SQ
Ste 1002
Atlanta, GA 30338-6254

Phone

(770) 220-8400

Fax

(770) 234-9979

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By 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

Jose Pablo Stolovitzky, MD

Title

Physician/Ceo

Phone

(770) 220-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1407017437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ",
            "address_2": "STE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386254",
            "telephone_number": "770-220-8400",
            "fax_number": "770-234-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ",
            "address_2": "STE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386254",
            "telephone_number": "770-220-8400",
            "fax_number": "770-234-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "STOLOVITZKY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "770-220-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Wilson Enriquez, MA
• Lauren Enriquez, FNP
• Lucia Enriquez, CNM
• Celina Yvonne Ensenat, RN
• ENT and Facial Plastic Surgery LLC
• ENT of Georgia, LLC
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• Entera Health Alliance - Ga, PC
• Entire Family Medical Center
• Entouch Home Care Services of Atlanta, LLC

• Otolaryngology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.