NPIMap

Organization Active NPI

Christian Ear Nose Throat

  • Otolaryngology Physician
  • Hopkinsville, KY
National Provider Identifier
1699022137
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
03508 Issued in KY
Legal business name
CHRISTIAN EAR NOSE THROAT
Practice address
1830 High St
Suite B
Hopkinsville, KY 42240-1746
Phone
(270) 885-5525
Fax
(270) 885-1811
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Charles W Bosch, DO
Title
Sole Member
Phone
(270) 885-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 03508 KY Primary

Addresses

Primary practice location

1830 High St
Suite B
Hopkinsville, KY 42240-1746

Mailing address

1830 High St
Suite B
Hopkinsville, KY 42240-1746
Phone (270) 885-5525

National Provider Directory

National Provider Directory

Locations

1830 High St
#B
Hopkinsville, KY 42240
Phone (270) 885-5525

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1699022137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HIGH ST",
            "address_2": "SUITE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401746",
            "telephone_number": "270-885-5525",
            "fax_number": "270-885-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HIGH ST",
            "address_2": "SUITE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401746",
            "telephone_number": "270-885-5525",
            "fax_number": "270-885-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN EAR NOSE THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "270-885-5525",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "03508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.