NPIMap

Organization Active NPI

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

  • Otolaryngology Physician
  • Hickory, NC
National Provider Identifier
1831151539
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
304 10TH Ave NE
Hickory, NC 28601-3834
Phone
(828) 322-2183
Fax
(828) 328-2838
NPI assigned
Apr 6, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X

Addresses

Primary practice location

304 10TH Ave NE
Hickory, NC 28601-3834

Mailing address

256 10TH Ave NE Ste C
Hickory, NC 28601-3882
Phone (828) 322-2183

Other identifiers 5

IdentifierTypeStateIssuer
2995820-001OtherNCCIGNA
890298QMedicaidNC
CK7483OtherNCRAILROAD MEDICARE NUMBER
0298QOtherNCBCBS
3404212MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100724000089 NC Part B Supplier - Clinic/Group Practice 9830101476 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Hickory, NC; Lenoir, NC; Lincolnton, NC; Morganton, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

304 10th Ave NE
Ste C
Hickory, NC 28601

256 10th Ave NE
Ste C
Hickory, NC 28601

149 W Parker Rd
Ste 2500
Morganton, NC 28655

Interoperability endpoints

  • Direct secure messaging: frankmauldin@centhnsc.allscriptsdirect.net
  • Direct secure messaging: dawndeneef@centhnsc.allscriptsdirect.net
  • Direct secure messaging: jameycost@centhnsc.allscriptsdirect.net
  • Direct secure messaging: williamfalls@centhnsc.allscriptsdirect.net
  • Direct secure messaging: adamzanation@centhnsc.allscriptsdirect.net
  • Direct secure messaging: williamjarrett@centhnsc.allscriptsdirect.net
  • Direct secure messaging: victoriaingle@centhnsc.allscriptsdirect.net
  • Direct secure messaging: willardharrill@centhnsc.allscriptsdirect.net
  • Direct secure messaging: davidmelon@centhnsc.allscriptsdirect.net
  • Direct secure messaging: ryanhendricker@centhnsc.allscriptsdirect.net
  • Direct secure messaging: marckatz@centhnsc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1831151539",
    "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": "828-328-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013834",
            "telephone_number": "828-322-2183",
            "fax_number": "828-328-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "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
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2995820-001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890298Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "CK7483",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0298Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, 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 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.