NPIMap

Organization Active NPI

Eastern Carolina Ear Nose and Throat Associates PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Smithfield, NC
National Provider Identifier
1831153402
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
31119 Issued in NC
Legal business name
EASTERN CAROLINA EAR NOSE AND THROAT ASSOCIATES PA
Practice address
927 North Bright Leaf Blvd
Smithfield, NC 27577
Phone
(919) 934-0948
Fax
(919) 934-0193
NPI assigned
Apr 12, 2006
Last updated
Oct 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Mrs. Dawn Yvonne Smith
Title
Office Manager
Phone
(919) 934-0948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 31119 NC Primary

Addresses

Primary practice location

927 North Bright Leaf Blvd
Smithfield, NC 27577

Mailing address

PO Box 571
Smithfield, NC 27577-0571
Phone (919) 934-0948

National Provider Directory

National Provider Directory

Locations

927 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-0948

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1831153402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770571",
            "telephone_number": "919-934-0948",
            "fax_number": "919-934-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 NORTH BRIGHT LEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-0948",
            "fax_number": "919-934-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA EAR NOSE AND THROAT ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-934-0948",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NC",
            "license": "31119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.