Active NPI
ENT Centers of Excellence
- Otolaryngology Physician
- Foley, AL
National Provider Identifier
1689043515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- ENT CENTERS OF EXCELLENCE
- Practice address
- 1851 N McKenzie St
Suite 106
Foley, AL 36535-4700 - Phone
- (251) 943-1117
- Fax
- (251) 943-1183
- NPI assigned
- Sep 22, 2015
- Last updated
- Mar 4, 2016
- 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
- Keith A. Kowal, MD
- Title
- Owner/Pysician
- Phone
- (251) 943-1117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | AL | Primary |
Addresses
Primary practice location
1851 N McKenzie St
Suite 106
Foley, AL 36535-4700
Mailing address
1851 N McKenzie St
Suite 106
Foley, AL 36535-4700
Phone (251) 943-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1851 N McKenzie St
Ste 106
Foley, AL 36535
Phone (251) 943-1117
Interoperability endpoints
- jessicapruett@entce.allscriptsdirect.net
- keithkowal@entce.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Fairhope, AL
- NPI 1528064201
-
- Family Nurse Practitioner
- Daphne, AL
- NPI 1780381376
-
- Nurse Practitioner
- Mobile, AL
- NPI 1740850965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457049600000",
"number": "1689043515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 N MCKENZIE ST",
"address_2": "SUITE 106",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354700",
"telephone_number": "251-943-1117",
"fax_number": "251-943-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 N MCKENZIE ST",
"address_2": "SUITE 106",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354700",
"telephone_number": "251-943-1117",
"fax_number": "251-943-1183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENT CENTERS OF EXCELLENCE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2016-03-04",
"status": "A",
"authorized_official_last_name": "KOWAL",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/PYSICIAN",
"authorized_official_telephone_number": "251-943-1117",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.