Entegrity Ear, Nose and Throat Specialists, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26487 Issued in AZ

Legal business name

ENTEGRITY EAR, NOSE AND THROAT SPECIALISTS, PC

Practice address

6950 E Chauncey LN
Suite 100
Phoenix, AZ 85054-5155

Phone

(602) 494-5090

Fax

(602) 494-5055

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Lamoine Sides

Title

Operations Manager

Phone

(602) 494-5090

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1497880504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 E CHAUNCEY LN",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545155",
            "telephone_number": "602-494-5090",
            "fax_number": "602-494-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 E CHAUNCEY LN",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545155",
            "telephone_number": "602-494-5090",
            "fax_number": "602-494-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTEGRITY EAR, NOSE AND THROAT SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LAMOINE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "602-494-5090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23310",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0875920",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadi H Enshaie
• Dee Alley Ensign, PA
• Sean Patrick Ensign, APRN, CRNA
• Ryan C Ensminger, D.O.
• Entegrity Ear Nose & Throat Specialists PC
• Dvora Entin, LCSW
• Entyre Care Arizona LLC
• Envision Eyecare LLC
• Envision Solutions PLLC
• Envision Therapeutic Horsemanship, Inc.

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.