Active NPI
Lakeview Ear Nose & Throat
- Otolaryngology Physician
- Jamestown, NY
National Provider Identifier
1750482154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- LAKEVIEW EAR NOSE & THROAT
- Practice address
- 151 Foote Avenue
Jamestown, NY 14701 - Phone
- (716) 486-2342
- Fax
- (716) 661-9304
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ellen A Weinberg
- Title
- Physician/Owner
- Phone
- (716) 483-2342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
151 Foote Avenue
Jamestown, NY 14701
Mailing address
151 Foote Avenue
Jamestown, NY 14701
Phone (716) 486-2342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01756138 | Medicaid | NY | |
| CA8673 | Other | NY | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
35 Harrison St
Jamestown, NY 14701
Phone (716) 484-6903
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Jamestown, NY
- NPI 1629045026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750482154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FOOTE AVENUE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "14701",
"telephone_number": "716-486-2342",
"fax_number": "716-661-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 FOOTE AVENUE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "14701",
"telephone_number": "716-486-2342",
"fax_number": "716-661-9304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW EAR NOSE & THROAT",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "716-483-2342",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01756138",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA8673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.