NPIMap

Organization Active NPI

Recalde Ear Nose & Throat Clinic PC

  • Otolaryngology Physician
  • Lewistown, PA
National Provider Identifier
1710089867
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD034182E Issued in PA
Legal business name
RECALDE EAR NOSE & THROAT CLINIC PC
Practice address
307 Fourth Street
Pleasant Acres
Lewistown, PA 17044-1316
Phone
(717) 248-9694
Fax
(717) 248-5806
NPI assigned
Sep 1, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Carlos M Recalde, MDNPI 1285779645
Title
Physician Otolaryngologist
Phone
(717) 248-9694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD034182E PA Primary

Addresses

Primary practice location

307 Fourth Street
Pleasant Acres
Lewistown, PA 17044-1316

Mailing address

307 Fourth Street
Pleasant Acres
Lewistown, PA 17044-1316
Phone (717) 248-9694

Other identifiers 1

IdentifierTypeStateIssuer
0011911300001MedicaidPA

Other names 1

  • Carlos M Recalde MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1710089867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 FOURTH STREET",
            "address_2": "PLEASANT ACRES",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441316",
            "telephone_number": "717-248-9694",
            "fax_number": "717-248-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 FOURTH STREET",
            "address_2": "PLEASANT ACRES",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441316",
            "telephone_number": "717-248-9694",
            "fax_number": "717-248-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECALDE EAR NOSE & THROAT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "RECALDE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "717-248-9694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD034182E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011911300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlos M Recalde MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewistown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.