Active NPI
Botros & Pollock, PA
- Otolaryngology Physician
- Wilmington, NC
National Provider Identifier
1619988607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- BOTROS & POLLOCK, PA
- Practice address
- 1625 Doctors Cir
Wilmington, NC 28401-7405 - Phone
- (910) 762-0234
- Fax
- (910) 762-7042
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherif B Botros, MD
- Title
- Vice-President
- Phone
- (910) 762-0234
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Audiologist | 231H00000X | |||
| Hearing Instrument Specialist | 237700000X |
Addresses
Primary practice location
1625 Doctors Cir
Wilmington, NC 28401-7405
Mailing address
1625 Doctors Cir
Wilmington, NC 28401-7405
Phone (910) 762-0234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001528 | Medicaid | NC | |
| 890189R | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1625 Doctors Cir
Wilmington, NC 28401
Phone (910) 762-0234
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Wilmington, NC
- NPI 1275603011
-
- Audiologist-Hearing Aid Fitter
- Fayetteville, NC
- NPI 1467624163
-
- Audiologist
- Wilmington, NC
- NPI 1528202504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402444800000",
"number": "1619988607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017405",
"telephone_number": "910-762-0234",
"fax_number": "910-762-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017405",
"telephone_number": "910-762-0234",
"fax_number": "910-762-7042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTROS & POLLOCK, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2014-06-11",
"status": "A",
"authorized_official_last_name": "BOTROS",
"authorized_official_first_name": "SHERIF",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "910-762-0234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001528",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890189R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.