NPIMap

Organization Active NPI

Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.

  • Otolaryngology Physician
  • Huntersville, NC
National Provider Identifier
1558305474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.
Practice address
10300 Gilead Rd
Suite 344-345
Huntersville, NC 28078-7505
Phone
(704) 948-6044
Fax
(704) 948-6559
NPI assigned
Jun 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Willard Cardwell Harrill, M.D.NPI 1174517189
Title
President
Phone
(828) 322-2183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NC Primary

Addresses

Primary practice location

10300 Gilead Rd
Suite 344-345
Huntersville, NC 28078-7505

Mailing address

10300 Gilead Rd
Suite 344-345
Huntersville, NC 28078-7505
Phone (704) 948-6044

Other identifiers 2

IdentifierTypeStateIssuer
890298QMedicaidNC
0298QOtherNCBCBS

National Provider Directory

National Provider Directory
Tax ID family
Carolina Ear Nose Throat-S7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558305474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 GILEAD RD",
            "address_2": "SUITE 344-345",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787505",
            "telephone_number": "704-948-6044",
            "fax_number": "704-948-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 GILEAD RD",
            "address_2": "SUITE 344-345",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787505",
            "telephone_number": "704-948-6044",
            "fax_number": "704-948-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRILL",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "CARDWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-322-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890298Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0298Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.