Ear, Nose & Throat Specialists, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR, NOSE & THROAT SPECIALISTS, P.C.

Practice address

1064 E Main St
Suite 302
Meriden, CT 06450-4898

Phone

(203) 235-3345

Fax

(203) 235-5658

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Inkwiy Kim, M.D.NPI 1881626448

Title

President

Phone

(203) 235-3345

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFDDBA

Practitioners 1

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

• Inkwiy Kim, M.D.

  • Otolaryngology Physician
  • Meriden, CT
  • NPI 1881626448
  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1487662995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 302",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-235-3345",
            "fax_number": "203-235-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 302",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-235-3345",
            "fax_number": "203-235-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "INKWIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-235-3345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL0983",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4002804",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Gaudio Duclos
• Michael Duda, PHARMD
• Diane J. Duffy Burns, RPT
• Cindy Vollaro Dunaj, MSN, MBA-HCM, MS
• Misty M Durkee, PT
• East Main Dental P.C.
• Eastern Rehabilitation Network
• Marlene Edelstein
• Alexandra Edmonson, RN, APRN
• Kenia Esther Egozcue, LPC

• Otolaryngology Physician in Meriden, CT
• Providers in Meriden, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.