Active NPI
Commonwealth Ear, Nose & Throat Specialists PC
- Otolaryngology Physician
- Midlothian, VA
National Provider Identifier
1720190390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 010122975
- Legal business name
- COMMONWEALTH EAR, NOSE & THROAT SPECIALISTS PC
- Practice address
- 14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201 - Phone
- (540) 345-3556
- Fax
- (540) 342-2193
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick J Gibbons, M.D.
- Title
- President
- Phone
- (540) 345-3556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 010122975 | VA | Primary |
Addresses
Primary practice location
14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201
Mailing address
PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269573 | Other | VA | ANTHEM |
| 006501478 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14051 St Francis Blvd
Ste 2211
Midlothian, VA 23114
Phone (804) 378-7443
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Midlothian, VA
- NPI 1336142124
-
- Otolaryngology Physician
- Midlothian, VA
- NPI 1285608430
-
- Otolaryngology Physician
- Midlothian, VA
- NPI 1356665830
-
- Audiologist
- Richmond, VA
- NPI 1952294795
-
- Audiologist
- Midlothian, VA
- NPI 1174722359
-
- Audiologist
- Richmond, VA
- NPI 1578651717
-
- Otolaryngology Physician
- Richmond, VA
- NPI 1376119834
-
- Audiologist
- North Chesterfield, VA
- NPI 1689318818
-
- Audiologist
- Richmond, VA
- NPI 1184172256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1720190390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8310",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240140310",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14051 ST FRANCIS BLVD",
"address_2": "SUITE 2211",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231143201",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH EAR, NOSE & THROAT SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-345-3556",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "VA",
"license": "010122975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "269573",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006501478",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
- Daniel Charles Colpo, RPH
- Comfort Counseling, LLC
- Daniel Michael Comins, OTR
- Commonwealth Behavioral Health, Inc.
- Commonwealth Clinic (Love of Jesus Health Clinic)
- Commonwealth Hearing Centersllc
- Commonwealth Infectious Diseases, LLC
- Commonwealth Pediatric Dentistry, PLLC
- Commonwealth Primary Care (Huguenot Primary Care)
- Compass Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.