ENT & Allergy Specialists of SWFL PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT & ALLERGY SPECIALISTS OF SWFL PA

Doing business as

University Ear, Nose, and Throat Assoc.

Practice address

2401 University Pkwy Ste 102
Sarasota, FL 34243-2894

Phone

(941) 355-2767

Fax

(941) 355-0167

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Loretta Reho

Title

Administrator

Phone

(941) 355-2767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Ear, Nose, and Throat Assoc. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Viengsouk Phommachanh, M.D.

  • Otolaryngology Physician
  • Sarasota, FL
  • NPI 1235331141
  Medicare reassignment Care Compare group NPD
• Paula B Pyle, MD

  • Otolaryngology Physician
  • Venice, FL
  • NPI 1043290950
  Medicare reassignment Care Compare group NPD
• Anju Thomas, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1093267700

  FL

  Medicare reassignment Care Compare group
• Shelby Burke, AUD

  • Audiologist
  • Gulf Breeze, FL
  • NPI 1518535244
  Medicare reassignment NPD

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1417267600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432894",
            "telephone_number": "941-355-2767",
            "fax_number": "941-355-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432894",
            "telephone_number": "941-355-2767",
            "fax_number": "941-355-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Nokomis Ave S",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852617",
            "country_code": "US",
            "telephone_number": "941-355-2767",
            "fax_number": "941-355-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENT & ALLERGY SPECIALISTS OF SWFL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "REHO",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-355-2767"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251697700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Ear, Nose, and Throat Assoc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia L. Engert, LMT
• Jacob Englander
• William Joseph English, RPH
• Enlighten ABA LLC
• Gillian Enos
• Envision Homecare, LLC
• Envision Surgery Center LLC
• Glorianna Alicia Enzor, DDS
• Epilepsy Services of Southwest Florida, Inc.
• Epiphany Integrated Health

• Otolaryngology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.