Pediatric Ear, Nose & Throat Associates, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

035460 Issued in CT

Legal business name

PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.

Practice address

65 Lasalle Rd
West Hartford, CT 06107-2374

Phone

(860) 236-3277

Fax

(860) 232-2750

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Howard G Smith, M.D.

Title

President

Phone

(860) 212-6723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1477912988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PILGRIM RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172243",
            "telephone_number": "860-212-6723",
            "fax_number": "860-232-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LASALLE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072374",
            "telephone_number": "860-236-3277",
            "fax_number": "860-232-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-212-6723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "035460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Payson, OTR
• Peace and Balance Therapy
• Peace of Mind CT, PLLC
• Geraldine S Pearson
• Pediatric and Adolescent Speech Therapy Associates
• Pedicorp, PC
• Elyse Pedra, LPC-A
• Melanie Peele, MED, MA, LPC
• Peter Pegolo, OD
• Emily Bevelaqua Pellegrino

• Medical Specialty Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Medical Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.