Brandon Area Ear, Nose and Throat, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BRANDON AREA EAR, NOSE AND THROAT, P.A.

Practice address

721 W Robertson St
Suite 108
Brandon, FL 33511-4934

Phone

(813) 684-4221

Fax

(813) 653-2442

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen L Yavelow, M.D.NPI 1184690737

Title

Physician

Phone

(813) 684-4221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen L. Yavelow, M.D.

  • Otolaryngology Physician
  • Brandon, FL
  • NPI 1184690737
  Medicare reassignment NPD Authorized official
• Ravi V Pachigolla, M.D.

  • Otolaryngology Physician
  • Weatherford, TX
  • NPI 1396731402
  NPD (past)
• Melanie H Smith, M.D.

  • Otolaryngology Physician
  • North Little Rock, AR
  • NPI 1407854151

  Specialist

  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1730375395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST",
            "address_2": "SUITE 108",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114934",
            "telephone_number": "813-684-4221",
            "fax_number": "813-653-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST",
            "address_2": "SUITE 108",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114934",
            "telephone_number": "813-684-4221",
            "fax_number": "813-653-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON AREA EAR, NOSE AND THROAT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "YAVELOW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-684-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Branca, DMD
• Christopher Brancato
• Brandon Advanced Dental Care PA
• Brandon Ambulatory Surgery Center LC (East Hillsborough Surgery Center)
• Brandon Anesthesia Associates LLC
• Brandon Area Primary Care, PA
• Brandon Assessment and Counseling Center Inc
• Brandon Assisted Living LLC (Tessera of Brandon)
• Brandon Back Pain Relief Chiropractic, LLC
• Brandon BG Opco LLC (Hunter Place)

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.