NPIMap

Organization Active NPI

Harnett Health System Inc

Doing business as Harnett Health Ear, Nose & Throat

  • Otolaryngology Physician
  • Dunn, NC
National Provider Identifier
1629674106
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HARNETT HEALTH SYSTEM INC
Doing business as
Harnett Health Ear, Nose & Throat
Practice address
805 Tilghman Dr Ste a
Dunn, NC 28334-5883
Phone
(910) 892-1000
NPI assigned
Dec 9, 2020
Last updated
Jan 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Authorized official

Name
Joseph Fiser
Title
VP Corp Rev Cycle/Managed Care
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

805 Tilghman Dr Ste a
Dunn, NC 28334-5883

Mailing address

PO Box 1706
Dunn, NC 28335-1706

Other names 1

  • Harnett Health Ear, Nose & Throat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000526 NC Part B Supplier - Clinic/Group Practice 6204748544 Receives reassigned benefits from 67 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lillington, NC

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705708800000",
    "number": "1629674106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283351706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TILGHMAN DR STE A",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345883",
            "telephone_number": "910-892-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNETT HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP CORP REV CYCLE/MANAGED CARE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harnett Health Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harnett Health Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.

Verify at the official NPI Registry.