Crawford County ENT PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD046736L Issued in PA

Legal business name

CRAWFORD COUNTY ENT PC

Practice address

505 Poplar St
Meadville, PA 16335-3057

Phone

(814) 373-3070

Fax

(814) 373-3074

NPI assigned

Feb 20, 2007

Last updated

Nov 30, 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

Mrs. Angela Mook

Title

Office Manager

Phone

(814) 373-3070

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Peter F White MD Former legal business name

Electronic endpoints 1

Locations

Practitioners 3

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.

• Dawn C Haggart, M.A.

  • Audiologist
  • Meadville, PA
  • NPI 1790746568
  NPD
• Michelle K. White, MD

  • Otolaryngology Physician
  • Meadville, PA
  • NPI 1356879894
  NPD
• Peter F. White, MD

  • Otolaryngology Physician
  • Meadville, PA
  • NPI 1225036270
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1730223801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 POPLAR ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353057",
            "telephone_number": "814-373-3070",
            "fax_number": "814-373-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 POPLAR ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353057",
            "telephone_number": "814-373-3070",
            "fax_number": "814-373-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 N Broad Street Ext Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161274604",
            "country_code": "US",
            "telephone_number": "724-458-0511",
            "fax_number": "724-458-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAWFORD COUNTY ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "MOOK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-373-3070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD046736L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "079117",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012963010001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwhite@meadvilleent.medentdirect.com",
            "affiliation": "N",
            "address_1": "505 Poplar St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163353057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Peter F White MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ana C Couto, MD
• Michelle Covert, LPC
• Dan Craven, PT
• Crawford Central School District
• Crawford County Drug & Alcohol Executive Commission, Inc.
• Crawford County Human Services
• Crawford County Human Services
• Crawford County Human Services
• Crawford County Mental Health Awareness Program, Inc. (Chaps)
• Crawford County Sub-Specialists Group

• Otolaryngology Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.