Ear Nose & Throat Center a Medical Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR NOSE & THROAT CENTER A MEDICAL CORPORATION

Practice address

2121 Line Ave
Shreveport, LA 71104-2126

Phone

(318) 226-9441

Fax

(318) 425-3236

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. W. Juan Watkins, M.D.

Title

President

Phone

(318) 226-9441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Henry J Hollier, M.D.

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1972509370
  Medicare reassignment Care Compare group NPD
• Misty Lynn Littleton, AU.D.

  • Audiologist
  • Shreveport, LA
  • NPI 1881850220
  Medicare reassignment Care Compare group NPD
• David G Pou, M.D.

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1992701395
  Medicare reassignment Care Compare group NPD
• Amelia Kate Ramsey, MD

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1073177952
  Medicare reassignment Care Compare group NPD
• Courtney Leigh Ross, AU.D.

  • Audiologist
  • Shreveport, LA
  • NPI 1649436072
  Medicare reassignment Care Compare group NPD
• Nazifa Sultana, AU. D.

  • Audiologist-Hearing Aid Fitter
  • Shreveport, LA
  • NPI 1265168652
  Medicare reassignment Care Compare group NPD
• Blakely Nelson Thornton

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1225271513
  Medicare reassignment Care Compare group NPD
• Robert S. Thornton, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Shreveport, LA
  • NPI 1851397855
  Medicare reassignment Care Compare group NPD
• William Harrel Watkins, M.D.

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1003812009
  Medicare reassignment Care Compare group NPD
• Amelia Elizabeth Sarcar, AU.D.

  • Audiologist
  • Shreveport, LA
  • NPI 1386566727
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1649350968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "W. JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-226-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122262",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Andrew Dzurik, MD
• E and a Labs and Imaging LLC
• Amethys E'Etessam, DO
• Amanda Eades
• Candis Tatyana Ealy, BSW, RSW
• Desiree L Earle, LPC, NCC
• Early Bird Medical Transport, LLC
• Rhosunda Early
• Curtistine Louann Earnest, MCD, CCC, SLP
• Denise Carey Earnest, MSW, LCSW

• Otolaryngology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.