Ear Nose & Throat Specialists, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G52842 Issued in CA

Legal business name

EAR NOSE & THROAT SPECIALISTS, INC.

Practice address

895 Aerovista PL
103
San Luis Obispo, CA 93401-7906

Phone

(805) 541-2368

Fax

(805) 541-2553

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert George Stewart

Title

President

Phone

(805) 541-2368

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1740372374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL",
            "address_2": "103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017906",
            "telephone_number": "805-541-2368",
            "fax_number": "805-541-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL",
            "address_2": "103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017906",
            "telephone_number": "805-541-2368",
            "fax_number": "805-541-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-2368",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Hermine Dworkin, PH.D.
• Monique Dye
• Susan M Dykema, LVN
• Ernest Daniel Moreno Dytiapco, MD
• Sydney Eaker, LMFT
• Ear, Nose & Throat Specialists Hearing AIDS, LLC
• Thomas Earley
• East West Natural Medicine Center
• East West Natural Medicine Center, LLC
• Darcy Eastman Nusbaum

• Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.