NPIMap

Organization Active NPI

Advanced ENT & Allergy, PC

  • Otolaryngology Physician
  • Newport News, VA
National Provider Identifier
1467816348
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101051871 Issued in VA
Legal business name
ADVANCED ENT & ALLERGY, PC
Practice address
11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone
(757) 873-0338
NPI assigned
Apr 7, 2016
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Katherine Queen
Title
Financial Administrator
Phone
(757) 873-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101051871 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone (757) 873-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160429001405 VA Part B Supplier - Clinic/Group Practice 9436458171 Receives reassigned benefits from 5 practitioners
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

11842 Rock Landing Dr
Ste 100
Newport News, VA 23606
Phone (757) 873-0338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12840/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1467816348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENT & ALLERGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "757-873-0338"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101051871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.