Southwestern Virginia Ears Nose and Throat Associates PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101051964 Issued in VA

Legal business name

SOUTHWESTERN VIRGINIA EARS NOSE AND THROAT ASSOCIATES PC

Practice address

2955 Market St Suite C-4
Christiansburg, VA 24073-6575

Phone

(540) 381-0344

Fax

(540) 381-1462

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Aaron J Prussin, MDNPI 1609867266

Title

President

Phone

(540) 381-0344

Specialties & licenses 1

Addresses

Locations

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.

• Aaron J Prussin, M.D.

  • Otolaryngology Physician
  • Blacksburg, VA
  • NPI 1609867266
  Authorized official Same address or phone

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1548444938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WADSWORTH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411439",
            "telephone_number": "540-639-9023",
            "fax_number": "540-639-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST SUITE C-4",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-381-0344",
            "fax_number": "540-381-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VIRGINIA EARS NOSE AND THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PRUSSIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-381-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101051964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Micanna Snider, LPTA
• Christopher Michael Snow, PT, DPT, OCS, ATC
• Baylie Snyder, ATC
• Solstas Lab Partners Group LLC
• Sergio Esteban Soto, DO
• Frances Sharon Spencer, OPTICIAN
• Spring Oak Christiansburg LLC
• Savita Srivastava, M.D.
• Heather C Staley, NP-C
• Eric K. Stanley, DO

• Otolaryngology Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.