Active NPI
ENT Consultants
- Otolaryngic Allergy Physician
- Selma, AL
National Provider Identifier
1538220736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- DO-644
- Legal business name
- ENT CONSULTANTS
- Practice address
- 731 Dallas Ave
Selma, AL 36701-5452 - Phone
- (334) 872-4778
- Fax
- (334) 872-8646
- NPI assigned
- Dec 12, 2006
- Last updated
- Sep 8, 2011
- Organization subpart
- Yes
- Parent organization
- ENT CONSULTANTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Osasere Lambert Aghedo, D.O
- Title
- President
- Phone
- (334) 872-4778
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | DO-644 | AL | Primary |
Addresses
Primary practice location
731 Dallas Ave
Selma, AL 36701-5452
Mailing address
731 Dallas Ave
Selma, AL 36701-5452
Phone (334) 872-4778
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51039993 | Other | AL | BCBS |
| 040014607 | Other | AL | PALMETTO RR MEDICARE |
| 009918380 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- ENT Consultants
Locations
731 Dallas Ave
Selma, AL 36701
Phone (334) 872-4778
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.
-
- Otolaryngic Allergy Physician
- Selma, AL
- NPI 1588725881
-
- Physical Therapist
- Greensboro, AL
- NPI 1861644924
-
- Physical Therapist
- Montgomery, AL
- NPI 1861136244
-
- Physical Therapist
- Selma, AL
- NPI 1457968745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1538220736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 DALLAS AVE",
"city": "SELMA",
"state": "AL",
"postal_code": "367015452",
"telephone_number": "334-872-4778",
"fax_number": "334-872-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 DALLAS AVE",
"city": "SELMA",
"state": "AL",
"postal_code": "367015452",
"telephone_number": "334-872-4778",
"fax_number": "334-872-8646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENT CONSULTANTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ENT CONSULTANTS",
"enumeration_date": "2006-12-12",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "AGHEDO",
"authorized_official_first_name": "OSASERE",
"authorized_official_middle_name": "LAMBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-872-4778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "AL",
"license": "DO-644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51039993",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "040014607",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009918380",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.