Anderson ENT, PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ANDERSON ENT, PA

Practice address

1206 Cornelia Rd
Anderson, SC 29621-3349

Phone

(864) 226-2822

Fax

(864) 226-2882

NPI assigned

May 12, 2006

Last updated

Jun 24, 2011By 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

Dole P BakerNPI 1396797833

Title

MD

Phone

(864) 226-2822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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.

• Dole P Baker, MD

  • Otolaryngology Physician
  • Anderson, SC
  • NPI 1396797833
  Medicare reassignment Care Compare group NPD Authorized official
• Kacie Nicole Tyner, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1528781127
  Medicare reassignment Care Compare group NPD
• Nancy E Hellenga, RNC, GONP

  • Obstetrics & Gynecology Nurse Practitioner
  • Anderson, SC
  • NPI 1063554277
  NPD (past)
• Mark Lacy, MD

  • Obstetrics & Gynecology Physician
  • Anderson, SC
  • NPI 1679515605
  NPD (past)
• Corrinna J M O'Bannon

  • Acute Care Nurse Practitioner
  • Greenville, SC
  • NPI 1508045808
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1447200936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296220139",
            "telephone_number": "864-226-2822",
            "fax_number": "864-226-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213349",
            "telephone_number": "864-226-2822",
            "fax_number": "864-226-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DOLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-226-2822"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson County Disabilities and Special Needs Board (Inspire Abilities of Anderson County)
• Anderson County EMS
• Anderson Dermatology and Skin Surgery Center
• Anderson Diagnostic Imaging, LLC (Anderson Radiology)
• Anderson Diagnostic Imaging, LLC (Anderson Radiology)
• Anderson Eye & Ear Associates, P.a. (Medicus)
• Anderson Eye Associates, PA
• Anderson Family Care, PA
• Anderson Family Dental Care PA
• Anderson Foot Clinic

• Otolaryngology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.