Ear Nose and Throat Consultants

Primary specialty

SpecialistTaxonomy code 174400000X

License

1919 Issued in SD

Legal business name

EAR NOSE AND THROAT CONSULTANTS

Doing business as

Fyzical

Practice address

101 Tower Road
Suite 110
Dakota Dunes, SD 57049

Phone

(605) 217-4320

Fax

(605) 217-2948

NPI assigned

Jun 7, 2016

Last updated

Jun 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

EAR NOSE AND THROAT CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Kelly A Jerdee

Title

Office Administrator

Phone

(605) 217-4320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fyzical Doing business as

Tax ID family

Ear Nose and Throat Consultants and Hearing Services PLC2 organizations share this tax ID, including this one

Part of

Ear Nose and Throat Consultants and Hearing Services PLC

Other organizations with this tax ID 1

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

• Ear Nose and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Dakota Dunes, SD
  • NPI 1114141546
  NPD tax ID

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.

• Mallory Hertz

  • Physical Therapist
  • Dakota Dunes, SD
  • NPI 1578019212
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1649629957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE 110",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT CONSULTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR NOSE AND THROAT CONSULTANTS",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "JERDEE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "605-217-4320"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "1919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA LICENSE",
            "identifier": "1919",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dunes Family Pharmacy Inc
• Dunes Medical Laboratories (MercyOne Dakota Dunes Medical Laboratories)
• Dunes Peiodontics and Implant Dentistry
• Emma Rose Duprey, PA
• Quentin John Durward, MD
• Ear Nose and Throat Consultants and Hearing Services PLC
• Eastern Iowa Therapeutics,PC (Athletico Physical Therapy)
• Benjamin Paul Eastman
• Zoey Ebmeier
• Devan Rae Eiten, OT

• Specialist in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.