Organization Active NPI

Carolina Otolaryngology Institute

  • Otolaryngology Physician
  • Aiken, SC
National Provider Identifier
1811903396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20267 Issued in SC
Legal business name
CAROLINA OTOLARYNGOLOGY INSTITUTE
Practice address
48 Physician Dr
Aiken, SC 29801-6388
Phone
(803) 644-9200
Fax
(803) 644-9201
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Davor Graham Sklizovic, MD
Title
Owner
Phone
(803) 644-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 20267 SC Primary

Addresses

Primary practice location

48 Physician Dr
Aiken, SC 29801-6388

Mailing address

PO Box 5297
Aiken, SC 29804-5297
Phone (803) 644-7092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811903396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5297",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298045297",
            "telephone_number": "803-644-7092",
            "fax_number": "803-643-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PHYSICIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016388",
            "telephone_number": "803-644-9200",
            "fax_number": "803-644-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OTOLARYNGOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKLIZOVIC",
        "authorized_official_first_name": "DAVOR",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-644-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "20267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

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.

Verify at the official NPI Registry.