ENT and Face

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

15101 Issued in SC

Legal business name

ENT AND FACE

Practice address

197 S Herlong Ave
Rock Hill, SC 29732-3427

Phone

(803) 366-9000

Fax

(803) 366-9200

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Brian Claud Wilson, M.D.

Title

Owner

Phone

(803) 366-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ENT and Face Doing business as

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1801956552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323427",
            "telephone_number": "803-366-9000",
            "fax_number": "803-366-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323427",
            "telephone_number": "803-366-9000",
            "fax_number": "803-366-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND FACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CLAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-366-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "15101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151016",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# INDIVIDUAL PROVIDER",
            "identifier": "1669473237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT and Face",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Engler Sr., HSC
• Mark English
• Enia Staffing Agency
• Ennovy Healthcare LLC
• Ensure Home Care of South Carolina
• Epiphany Family Services LLC
• Epiphany Family Services LLC Maryland
• Epiphany Family Services SC
• Thomas Walter Epps, D.M.D.
• Brian Charles Erb, M.D.

• Otolaryngology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.