Organization Active NPI

Ear Nose & Throat Associates of Butler, LTD

  • Specialist
  • Butler, PA
National Provider Identifier
1487685210
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD016945E Issued in PA
Legal business name
EAR NOSE & THROAT ASSOCIATES OF BUTLER, LTD
Practice address
104 Technology Dr Ste 102
Butler, PA 16001-1801
Phone
(724) 482-0028
Fax
(724) 482-0032
NPI assigned
Jul 6, 2006
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Ms. Doreen Joyce Morrow
Title
Office Manager
Phone
(724) 482-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD016945E PA Primary

Addresses

Primary practice location

104 Technology Dr Ste 102
Butler, PA 16001-1801

Mailing address

104 Technology Dr Ste 102
Butler, PA 16001-1801
Phone (724) 482-0028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000576 PA Part B Supplier - Clinic/Group Practice 7517904543 Receives reassigned benefits from 4 practitioners
Practice locations: Butler, PA

National Provider Directory

National Provider Directory

Locations

104 Technology Dr
Ste 102
Butler, PA 16001
Phone (724) 482-0028

Practitioners & affiliated clinicians

Practitioners 5

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1487685210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-0028",
            "fax_number": "724-482-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-0028",
            "fax_number": "724-482-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT ASSOCIATES OF BUTLER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-482-0028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD016945E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.