Comprehensive ENT P C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101049959 Issued in VA

Legal business name

COMPREHENSIVE ENT P C

Practice address

5219 Hickory Park Dr.
Suite C
Glen Allen, VA 23059

Phone

(804) 228-4480

Fax

(804) 228-4484

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Julie Ann Redmon, M.D.NPI 1841234416

Title

President

Phone

(804) 228-4480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Julie Ann Redmon, M.D.

  • Otolaryngology Physician
  • Glen Allen, VA
  • NPI 1841234416
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Elizabeth Dawson, AUD

  • Audiologist
  • Richmond, VA
  • NPI 1013516988
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467524413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 HICKORY PARK DR.",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-228-4480",
            "fax_number": "804-228-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 HICKORY PARK DR.",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-228-4480",
            "fax_number": "804-228-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ENT P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-228-4480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101049959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Douglas Compton, MD
• Emilie Alden Conner, LPC
• Lauren Conners
• Sarah Conrad, LMFT
• Angela Cidmary Contreras

• Otolaryngology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.