Mecklenburg Ear Nose and Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MECKLENBURG EAR NOSE AND THROAT

Practice address

2614 E Seventh St
Charlotte, NC 28204-4375

Phone

(704) 376-1220

Fax

(704) 376-1229

NPI assigned

Jul 23, 2006

Last updated

Jun 22, 2010By 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

Mary Fischer, MSHA

Title

Practice Manager

Phone

(705) 376-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Robert Edwin Harley, M.D.

  • Otolaryngology Physician
  • Charlotte, NC
  • NPI 1164446001
  NPD (past)
• William McKamie Caldwell Jr., M.D.

  • Otolaryngology Physician
  • Kalispell, MT
  • NPI 1205850153
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1417978313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E SEVENTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-376-1220",
            "fax_number": "704-376-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E SEVENTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-376-1220",
            "fax_number": "704-376-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "705-376-1220",
        "authorized_official_credential": "MSHA"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890147Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg County Area MH, DD and Sa Authority
• Mecklenburg County Provided Services Organization
• Mecklenburg Dermatology Assoc. PA
• Mecklenburg Diagnostic Imaging LLC (Novant Health Imaging Southpark)
• Mecklenburg Dynamic Solutions, LTD. Liability Co (Mecklenburg Phlebotomy)
• Mecklenburg Emergency Medical Services Agency (Medic)
• Mecklenburg Eye Associates PA
• Mecklenburg Eye Associates PA
• Mecklenburg Eye Associates PA
• Mecklenburg Foot & Ankle Associates

• Otolaryngology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.