Ear Nose & Throat Medicine and Surgery Group, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR NOSE & THROAT MEDICINE AND SURGERY GROUP, LLC

Practice address

850 Aquidneck Ave
Middletown, RI 02842-7244

Phone

(401) 849-4448

Fax

(401) 849-6479

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah A Murphy

Title

Office Manager

Phone

(401) 849-4448

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Franklin Freedman, M.D.

  • Otolaryngology Physician
  • Middletown, RI
  • NPI 1912901869
  Medicare reassignment Care Compare group NPD
• Katie L. Silvia, AU.D.

  • Audiologist
  • Middletown, RI
  • NPI 1710142328
  Medicare reassignment Care Compare group NPD
• Bridget K. Block, AU.D.

  • Audiologist
  • Middletown, RI
  • NPI 1063724276
  Medicare reassignment Care Compare group
• David Michael Sequino, D.C.

  • Chiropractor
  • Bristol, RI
  • NPI 1184752545
  NPD (past)
• Roberta Singer, M.S.

  • Audiologist
  • Kingston, RI
  • NPI 1902958994
  NPD (past)
• Carrie Ann Lewis, AU.D., CCC-A

  • Audiologist
  • Dartmouth, MA
  • NPI 1558517698
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1689772287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 AQUIDNECK AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427244",
            "telephone_number": "401-849-4448",
            "fax_number": "401-849-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 AQUIDNECK AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427244",
            "telephone_number": "401-849-4448",
            "fax_number": "401-849-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT MEDICINE AND SURGERY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-849-4448",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "TUFTS",
            "identifier": "739270",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN11261",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000136",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0334",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0758",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000002519",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Hakan Durudogan, DDS
• Kathryn Ann Dwyer, RN,C.
• Sandra L Dyl, R. N.
• Corrie-Lynn Dyson
• Marcia J Eagleson, MED
• Robyn Lynn Earley, MA, CCC-SLP
• Easton Pond Chiropractic, Inc.
• Cecelia Glynn Echevarria
• Christa Edolo, LCSW
• Lamis Elbstamey

• Otolaryngology Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Otolaryngology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.