NPIMap

Organization Active NPI

Ear, Nose & Throat LTD

  • Otolaryngology Physician
  • Norfolk, VA
National Provider Identifier
1437538154
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101038741 Issued in VA
Legal business name
EAR, NOSE & THROAT LTD
Practice address
901 Hampton Blvd
Norfolk, VA 23507-1503
Phone
(757) 623-0526
Fax
(757) 636-9090
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Ms. Catherine Lago
Title
Administrator
Phone
(757) 623-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 0101038741 VA Primary

Addresses

Primary practice location

901 Hampton Blvd
Norfolk, VA 23507-1503

Mailing address

901 Hampton Blvd
Norfolk, VA 23507-1503
Phone (757) 623-0526

Other identifiers 1

IdentifierTypeStateIssuer
006555071MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Ear Nose Throat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Hampton Blvd
Norfolk, VA 23507
Phone (757) 623-0526

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20682/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1437538154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071503",
            "telephone_number": "757-623-0526",
            "fax_number": "757-636-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071503",
            "telephone_number": "757-623-0526",
            "fax_number": "757-636-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-623-0526",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101038741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006555071",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.