Organization Active NPI

Carolina Ear, Nose & Throat-Sinus and Allergy Center PA

  • Otolaryngology Physician
  • Lincolnton, NC
National Provider Identifier
1780628685
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Jun 14, 2024

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0298QOtherNCBCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2196595Carolina ENT Sinus and Allergy Center, PA1446 East Gaston St, Ste 101, Lincolnton, NC 28092Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carolina Ear Nose Throat-S7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.