NPIMap

Organization Active NPI

It Is ENT, PLLC

  • Otolaryngology Physician
  • Alexandria, VA
National Provider Identifier
1497280739
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101256962 Issued in VA
Legal business name
IT IS ENT, PLLC
Practice address
2210 Mount Vernon Ave
Suite 205
Alexandria, VA 22301-1361
Phone
(571) 447-9136
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Estelle YooNPI 1598953846
Title
Principal
Phone
(571) 447-9136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 0101256962 VA Primary

Addresses

Primary practice location

2210 Mount Vernon Ave
Suite 205
Alexandria, VA 22301-1361

Mailing address

PO Box 30904
Alexandria, VA 22310-8904

National Provider Directory

National Provider Directory

Locations

2210 Mount Vernon Ave
Ste 205
Alexandria, VA 22301
Phone (571) 447-9136

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1497280739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30904",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223108904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MOUNT VERNON AVE",
            "address_2": "SUITE 205",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011361",
            "telephone_number": "571-447-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT IS ENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "571-447-9136"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101256962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.