Active NPI
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA
- Otolaryngology Physician
- Lincolnton, NC
National Provider Identifier
1780628685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- CAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA
- Practice address
- 1446 E Gaston St Ste 101
Lincolnton, NC 28092-4441 - Phone
- (828) 322-2183
- Fax
- (828) 322-7279
- NPI assigned
- Jun 15, 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
- Brook Fulmer
- Title
- Business Office
- Phone
- (828) 322-2183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1446 E Gaston St Ste 101
Lincolnton, NC 28092-4441
Mailing address
256 10TH Ave NE Ste C
Hickory, NC 28601-3882
Phone (828) 322-2183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298Q | Other | NC | BCBS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2196595 | Carolina ENT Sinus and Allergy Center, PA | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Ear Nose Throat-S
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Lenoir, NC
- NPI 1235247933
-
- Otolaryngology Physician
- Mooresville, NC
- NPI 1407890361
-
- Otolaryngology Physician
- Huntersville, NC
- NPI 1558305474
-
- Otolaryngology Physician
- Denver, NC
- NPI 1861438988
-
- Otolaryngology Physician
- Lenoir, NC
- NPI 1023976362
-
- Otolaryngology Physician
- Morganton, NC
- NPI 1043555899
Locations
441 McAlister Rd
Ste 2500
Lincolnton, NC 28092
Phone (704) 479-2600
751 S Laurel St
Lincolnton, NC 28092
Phone (704) 735-3081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1780628685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 10TH AVE NE STE C",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013882",
"telephone_number": "828-322-2183",
"fax_number": "828-322-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 E GASTON ST STE 101",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924441",
"telephone_number": "828-322-2183",
"fax_number": "828-322-7279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "FULMER",
"authorized_official_first_name": "BROOK",
"authorized_official_title_or_position": "BUSINESS OFFICE",
"authorized_official_telephone_number": "828-322-2183"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0298Q",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
- Kirk Andrew Campbell, D.O.
- Capital Care Resources, LLC
- Cardinal North Carolina Healthcare, LLC
- Care for All Home Health
- Carillon Assisted Living of Lincolnton, LLC
- Carolina Pulmonary and Critical Care Associates, P.a.
- Carolinas Healthcare System/Lincoln Family Practice
- Carolinas Medical Center at Home LLC
- Carolinas Medical Center at Home, LLC
- Carolinas Physicians Network Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.