Organization Active NPI

Ear, Nose & Throat of Natchez

  • Otolaryngology Physician
  • Natchez, MS
National Provider Identifier
1518010651
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
19410 Issued in MS
Legal business name
EAR, NOSE & THROAT OF NATCHEZ
Practice address
54 SGT Prentiss Dr
Natchez, MS 39120-4726
Phone
(601) 445-8100
Fax
(601) 445-8600
NPI assigned
Jan 20, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Ernest Behnke, MDNPI 1003911546
Title
Owner
Phone
(601) 445-8100

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 Physician 207Y00000X 19410 MS Primary

Addresses

Primary practice location

54 SGT Prentiss Dr
Natchez, MS 39120-4726

Mailing address

PO Box 18297
Natchez, MS 39122-8297
Phone (601) 445-8100

Other identifiers 1

IdentifierTypeStateIssuer
02830380MedicaidMS

National Provider Directory

National Provider Directory

Locations

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

Practitioners & affiliated clinicians

Practitioners 1

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": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1518010651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18297",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391228297",
            "telephone_number": "601-445-8100",
            "fax_number": "601-445-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SGT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-445-8100",
            "fax_number": "601-445-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT OF NATCHEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-445-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "19410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02830380",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.