Shenandoah Head and Neck Specialists, PLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SHENANDOAH HEAD AND NECK SPECIALISTS, PLC

Practice address

142 Linden Dr
Suite 106
Winchester, VA 22601-6901

Phone

(540) 722-7282

NPI assigned

Sep 20, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Salata, MD

Title

Partner

Phone

(540) 722-7282

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

Enrollment records 2

Practitioners 7

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.

• Nikolas Sean Mikus, AU.D.

  • Audiologist
  • Winchester, VA
  • NPI 1811631195
  Medicare reassignment Care Compare group NPD
• Katrina Ann Miller, M.ED., CCC-A

  • Audiologist
  • Winchester, VA
  • NPI 1710141379
  Medicare reassignment Care Compare group NPD
• Cara Garrett Housden, P.A.

  • Physician Assistant
  • Winchester, VA
  • NPI 1558652156
  Medicare reassignment Care Compare group
• Joseph L Mikus, MD

  • Otolaryngology Physician
  • Winchester, VA
  • NPI 1740241959
  Medicare reassignment Care Compare group
• Ingrid C Iwanow, M.D.

  • Otolaryngology Physician
  • Winchester, VA
  • NPI 1689769416
  Medicare reassignment NPD
• Catherine S Smith, MD

  • Otolaryngology Physician
  • Punta Gorda, FL
  • NPI 1851351407

  VA

  Medicare reassignment NPD
• Kristina O Roach, PA

  • Physician Assistant
  • Winchester, VA
  • NPI 1346200896
  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1659478485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-722-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LINDEN DR",
            "address_2": "SUITE 106",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016901",
            "telephone_number": "540-722-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH HEAD AND NECK SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SALATA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "540-722-7282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR GROUP",
            "identifier": "DD2064",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica M Shell, LCSW
• Jessica Lynn Shelton, MS LMHP-R
• Ryan E Shelton
• Shenandoah Endodontics LLC (shenandoah Endodontics)
• Shenandoah Family Institute, Inc.
• Shenandoah Health Associates, LLC
• Shenandoah Memorial Hospital, Inc. (Valley Health Winchester Family Practice)
• Shenandoah Oncology Assoc PC (Richard M Ingram MD)
• Shenandoah Oncology Associates
• Shenandoah Oncology Associates, PC

• Otolaryngology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.