Organization Active NPI

Ear Nose & Throat Associates PC

  • Otolaryngology Physician
  • Gainesville, VA
National Provider Identifier
1740586197
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101236105 Issued in VA
Legal business name
EAR NOSE & THROAT ASSOCIATES PC
Practice address
7001 Heritage Village PLZ
Suite 260
Gainesville, VA 20155-3065
Phone
(703) 468-2205
Fax
(703) 468-2216
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Melanie Y. Chusing
Title
Office Manager
Phone
(703) 468-2205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 0101236105 VA Primary

Addresses

Primary practice location

7001 Heritage Village PLZ
Suite 260
Gainesville, VA 20155-3065

Mailing address

7001 Heritage Village PLZ
Suite 260
Gainesville, VA 20155-3065
Phone (703) 468-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110412000540 VA Part B Supplier - Clinic/Group Practice 1355525585 Receives reassigned benefits from 4 practitioners
Practice locations: Gainesville, VA
O20120328000107 DC Part B Supplier - Clinic/Group Practice 1355525585 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

14370 Lee Hwy
Ste 103
Gainesville, VA 20155
Phone (703) 330-3277

7001 Heritage Village Plz
Ste 260
Gainesville, VA 20155
Phone (703) 468-2205

7001 Heritage Village Plz
Ste 175
Gainesville, VA 20155
Phone (703) 291-1254

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1740586197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 260",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553065",
            "telephone_number": "703-468-2205",
            "fax_number": "703-468-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 260",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553065",
            "telephone_number": "703-468-2205",
            "fax_number": "703-468-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "CHUSING",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-468-2205"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101236105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.