Organization Active NPI

Ear Nose and Throat Associates PC

  • Otolaryngology Physician
  • Yankton, SD
National Provider Identifier
1689605016
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR NOSE AND THROAT ASSOCIATES PC
Practice address
2525 Fox Run Pkwy
Suite 101
Yankton, SD 57078-5371
Phone
(605) 665-0062
Fax
(605) 665-0076
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. David Joel Abbott, MD
Title
President
Phone
(605) 665-0062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2525 Fox Run Pkwy
Suite 101
Yankton, SD 57078-5371

Mailing address

2525 Fox Run Pkwy
Suite 101
Yankton, SD 57078-5371
Phone (605) 665-0062

Other identifiers 1

IdentifierTypeStateIssuer
0462OtherSDCERT OF REGISTRATION

National Provider Directory

National Provider Directory

Locations

1000 W 4th St
Ste 5
Yankton, SD 57078
Phone (605) 665-0062

2525 Fox Run Pkwy
Yankton, SD 57078
Phone (605) 260-0918

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1689605016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 101",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785371",
            "telephone_number": "605-665-0062",
            "fax_number": "605-665-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 101",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785371",
            "telephone_number": "605-665-0062",
            "fax_number": "605-665-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-665-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT OF REGISTRATION",
            "identifier": "0462",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.