Greenley Oaks Ear, Nose & Throat, Apc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREENLEY OAKS EAR, NOSE & THROAT, APC

Practice address

795 Morning Star Dr
Sonora, CA 95370-5193

Phone

(209) 533-2545

Fax

(209) 533-0924

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Patty A Holman

Title

Office Manager

Phone

(209) 533-2545

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Daniel Thomas Dubose, MD FACS

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sonora, CA
  • NPI 1164437471
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1740456706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MORNING STAR DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705193",
            "telephone_number": "209-533-2545",
            "fax_number": "209-533-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MORNING STAR DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705193",
            "telephone_number": "209-533-2545",
            "fax_number": "209-533-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEY OAKS EAR, NOSE & THROAT, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-533-2545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G317680",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G670890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Grabowski
• Grandi Dental, Inc.
• Stas Grandi, D.M.D., M.S.D.
• Natalie Gray, LMFT
• Vibeke B Green, NP
• Greenley Oaks Hearing Resource Center, Inc.
• Steven J Gregg
• Margaret Therese Grolle, PT
• Abhijit Prakash Gune, DDS
• Julia A Gustafson, NP

• Specialist in Sonora, CA
• Providers in Sonora, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.