NPIMap

Organization Active NPI

Mann Ear Nose & Throat Clinic PA

  • Otolaryngology Physician
  • Cary, NC
National Provider Identifier
1801838677
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MANN EAR NOSE & THROAT CLINIC PA
Practice address
601 Keisler Dr
Suite 200
Cary, NC 27518-6567
Phone
(919) 859-4744
Fax
(919) 859-9406
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Dr. Richard M Jones, M.D.
Title
Doctor
Phone
(919) 859-4744

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X

Addresses

Primary practice location

601 Keisler Dr
Suite 200
Cary, NC 27518-6567

Mailing address

601 Keisler Dr
Suite 200
Cary, NC 27518-6567
Phone (919) 859-4744

Other identifiers 1

IdentifierTypeStateIssuer
0161UOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000220 NC Part B Supplier - Clinic/Group Practice 6507946597 Receives reassigned benefits from 11 practitioners
Practice locations: Cary, NC; Clayton, NC

National Provider Directory

National Provider Directory

Locations

100 S 10th St
Lillington, NC 27546
Phone (910) 893-4111

Practitioners & affiliated clinicians

Practitioners 12

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1801838677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186567",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186567",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN EAR NOSE & THROAT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-859-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0161U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.