Ear, Nose & Throat Physicians and Surgeons of Charleston, PLLC

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

Legal business name

EAR, NOSE & THROAT PHYSICIANS AND SURGEONS OF CHARLESTON, PLLC

Practice address

4408 Maccorkle Ave SE
Charleston, WV 25304-2506

Phone

(304) 357-9049

Fax

(304) 357-4412

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Robert E Pollard, MD

Title

Member

Phone

(304) 357-9049

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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.

• David A Phillips, MD

  • Otolaryngology Physician
  • Charleston, WV
  • NPI 1700846078
  Medicare reassignment Care Compare group NPD
• Mary S Manahan, MA, CCCA

  • Audiologist
  • Charleston, WV
  • NPI 1659467645
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1477899623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042506",
            "telephone_number": "304-357-9049",
            "fax_number": "304-357-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042506",
            "telephone_number": "304-357-9049",
            "fax_number": "304-357-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT PHYSICIANS AND SURGEONS OF CHARLESTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-357-9049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagle Pharmacy LLC
• Kelli Eagle
• Candace Ealey
• Kieri Ealm
• Ear Nose & Throat Assc of Charl Inc
• Elizabeth M Earles, MA.MA.MSW
• John David Earley
• Jerry L Early
• Savana Beth Earnest, M.A, ED.S, NCSP
• Destiny Easley

• Otolaryngology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.