Organization Active NPI

Hendersonville Ear, Nose & Throat, P.a.

  • Otolaryngology Physician
  • Hendersonville, NC
National Provider Identifier
1730144197
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
21660 Issued in NC
Legal business name
HENDERSONVILLE EAR, NOSE & THROAT, P.A.
Practice address
512 Park Hill CT
Hendersonville, NC 28739-4265
Phone
(828) 693-0706
Fax
(828) 693-5705
NPI assigned
Apr 19, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Rodney James Hawk, M.D.
Title
President
Phone
(828) 693-0706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 21660 NC Primary

Addresses

Primary practice location

512 Park Hill CT
Hendersonville, NC 28739-4265

Mailing address

512 Park Hill CT
Hendersonville, NC 28739-4265
Phone (828) 693-0706

Other identifiers 2

IdentifierTypeStateIssuer
8901748MedicaidNC
040008853OtherNCRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

512 Park HL CT
Hendersonville, NC 28739
Phone (828) 693-0706

512 Park HL CT
Hendersonville, NC 28739
Phone (828) 693-0706

512 Park HL CT
Hendersonvlle, NC 28739
Phone (828) 693-0706

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1730144197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 PARK HILL CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394265",
            "telephone_number": "828-693-0706",
            "fax_number": "828-693-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PARK HILL CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394265",
            "telephone_number": "828-693-0706",
            "fax_number": "828-693-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE EAR, NOSE & THROAT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-693-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "21660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901748",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "040008853",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.