Family Ear Nose & Throat Care

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

Legal business name

FAMILY EAR NOSE & THROAT CARE

Practice address

60 Physicians LN
Ste 1
Southaven, MS 38671-6122

Phone

(662) 349-0707

Fax

(662) 349-0708

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Traci L Cato

Title

Office Manager

Phone

(662) 349-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Louis R Chanin Other name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Traent LLC

  • Clinic/Center
  • Southaven, MS
  • NPI 1598038481
  NPPES parent name

Practitioners 1

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

• Greene Berry Colvin IV, MD

  • Otolaryngology Physician
  • Olive Branch, MS
  • NPI 1619988243
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1477541670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "address_2": "60 PHYSICIAN LANE STE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710011",
            "telephone_number": "662-349-0707",
            "fax_number": "662-349-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PHYSICIANS LN",
            "address_2": "STE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716122",
            "telephone_number": "662-349-0707",
            "fax_number": "662-349-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EAR NOSE & THROAT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-349-0707"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017484",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Louis R Chanin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Priti Prakash Ezhuvathra, MD
• F.C. of Mississippi, Inc.
• Le'Brianna Fairley
• Golnaz Fakour Bayat Shirazi, MD
• Family Cancer Center, PLLC
• Family Medical Clinic of North Ms Inc
• Brooke Farmer
• Destiny Farmer, DPT
• Yen Pham Farmer, FNP-BC
• Jenny Farrenkopf

• Pediatric Otolaryngology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Pediatric Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.