Thomaston Ear, Nose and Throat Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

041918 Issued in GA

Legal business name

THOMASTON EAR, NOSE AND THROAT INC.

Practice address

210 Cherokee Rd
Thomaston, GA 30286-3402

Phone

(706) 646-4508

Fax

(706) 646-2752

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Anthony O'Connell, MDNPI 1720262686

Title

Physician/President

Phone

(706) 646-4508

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Kevin A. O'Connell, M.D.

  • Otolaryngic Allergy Physician
  • Warsaw, NY
  • NPI 1720262686
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1417958786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHEROKEE RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863402",
            "telephone_number": "706-646-4508",
            "fax_number": "706-646-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHEROKEE RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863402",
            "telephone_number": "706-646-4508",
            "fax_number": "706-646-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASTON EAR, NOSE AND THROAT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "706-646-4508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "041918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "040013774",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "584912",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00711301C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael L Sweeney, NP-BC
• Sandra Tawfik
• The Hemlock Pain Center, LLC
• The Optical Shop of Thomaston LLC
• Thomas M. Kretzmer
• Thomaston Family Practice LLC
• Thomaston Hospice, Inc.
• Thomaston Internal Medicine,L.L.C.
• Thomaston Medical Clinic, PC
• Thomaston Obstetrical & Gynecological Associates, P.C. (Thomaston OB-GYN Associates, P. C.)

• Specialist in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.