Organization Active NPI

Albemarle Ear Nose & Throat Asthma and Allergy Associates PA

  • Allergy & Immunology Physician
  • Elizabeth City, NC
National Provider Identifier
1841285293
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALBEMARLE EAR NOSE & THROAT ASTHMA AND ALLERGY ASSOCIATES PA
Practice address
1134 N Road St
BLDG # 2
Elizabeth City, NC 27909-3365
Phone
(252) 335-2923
Fax
(252) 335-7003
NPI assigned
Sep 13, 2005
Organization subpart
No

Practitioners 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000906 NC Part B Supplier - Clinic/Group Practice 9537124474 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabeth City, NC

National Provider Directory

National Provider Directory

Locations

8845 Caratoke Hwy Ste 3
Harbinger, NC 27941

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Margaret Rose Donohoe, M.D.NPI 1083683650
Title
Owner
Phone
(252) 335-2923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

1134 N Road St
BLDG # 2
Elizabeth City, NC 27909-3365

Mailing address

1134 N Road St
Building 2
Elizabeth City, NC 27909-3365
Phone (252) 335-2923

Other identifiers 1

IdentifierTypeStateIssuer
8902953MedicaidNC

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1841285293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST",
            "address_2": "BUILDING 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-335-2923",
            "fax_number": "252-335-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST",
            "address_2": "BLDG # 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-335-2923",
            "fax_number": "252-335-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE EAR NOSE & THROAT ASTHMA AND ALLERGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "DONOHOE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-335-2923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902953",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.