Greenwood Ear Nose & Throat Specialists PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

GREENWOOD EAR NOSE & THROAT SPECIALISTS PC

Practice address

1619 N Greenwood
Suite 309
Pueblo, CO 81003-2657

Phone

(719) 544-7115

Fax

(719) 544-6242

NPI assigned

Nov 29, 2006

Last updated

Aug 3, 2022By 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

Dr. Clifford Scott Howe, MDNPI 1003989856

Title

President

Phone

(719) 544-7115

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Erika L. Almeida-Trujillo, DNP

  • Otolaryngology Physician
  • Pueblo, CO
  • NPI 1265548960
  Medicare reassignment Care Compare group NPD
• William Henry Detar, DO

  • Otolaryngology Physician
  • Salida, CO
  • NPI 1497311435
  Medicare reassignment Care Compare group NPD
• Clifford Scott Howe, MD

  • Otolaryngology Physician
  • Pueblo, CO
  • NPI 1003989856
  Authorized official Same address or phone
• Charlene J Hickson, M.D.

  • Otolaryngology Physician
  • Pueblo, CO
  • NPI 1417909938
  NPD (past)
• John E Butler, M.D.

  • Otolaryngology Physician
  • SLC, UT
  • NPI 1598725350
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1699842237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD",
            "address_2": "SUITE 309",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032657",
            "telephone_number": "719-544-7115",
            "fax_number": "719-544-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD",
            "address_2": "SUITE 309",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032657",
            "telephone_number": "719-544-7115",
            "fax_number": "719-544-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD EAR NOSE & THROAT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-544-7115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005351",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "GRA3739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M. Grebenc, OT
• Tarnell Joseph Green
• Kayleigh R Greenfield, COTA/L
• Greenhorn Family Dentistry LLC
• Nancy Lea Greenstreet, LCSW
• Greenwood Manor Inc
• Andrew Jerry Greenwood, DO
• Laura L. Greenwood
• Michael Greenwood, OTR
• Greg Philson DDS PC

• Otolaryngology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.