Plattsburgh Otolaryngology-Head and Neck Surgery, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC

Practice address

79 Hammond LN Ste 12
Plattsburgh, NY 12901-2075

Phone

(518) 566-7930

NPI assigned

Jun 22, 2023

Last updated

Dec 26, 2023By 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

Latricia Bass

Title

Administrator

Phone

(407) 637-0973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Sarah Lynn Howell, FNP

  • Family Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1679725709
  Medicare reassignment Care Compare group NPD
• Angela M Powell, MD

  • Otolaryngology Physician
  • Plattsburgh, NY
  • NPI 1215005699
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1730865098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012075",
            "telephone_number": "518-566-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "LATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-637-0973"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plattsburgh Podiatry Center LLP
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• Plattsburgh State Tbi
• Plattsburgh State University (North Country Regional TBI Center)

• Otolaryngology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.