Collier Otolaryngology-Head and Neck Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0063724 Issued in FL

Legal business name

COLLIER OTOLARYNGOLOGY-HEAD AND NECK SURGERY PA

Practice address

1879 Veterans Park Dr
Suite 1201
Naples, FL 34109-0492

Phone

(239) 262-6668

Fax

(239) 262-0017

NPI assigned

Oct 17, 2007

Last updated

Mar 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene A. Mello

Title

Practice Manager

Phone

(239) 592-9666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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.

• William Laskowski, MD

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1841353026
  Medicare reassignment Care Compare group NPD
• Thomas M Magardino, MD

  • Specialist
  • Naples, FL
  • NPI 1679534127
  Medicare reassignment Care Compare group NPD
• Todd C Morehouse, D.O.

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1376644997
  Medicare reassignment Care Compare group NPD
• Jennifer Jozwiak, M.A.

  • Audiologist
  • Naples, FL
  • NPI 1427215383
  Medicare reassignment NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1851580740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 VETERANS PARK DR",
            "address_2": "SUITE 1201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090492",
            "telephone_number": "239-592-9666",
            "fax_number": "239-592-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 VETERANS PARK DR",
            "address_2": "SUITE 1201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090492",
            "telephone_number": "239-262-6668",
            "fax_number": "239-262-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER OTOLARYNGOLOGY-HEAD AND NECK SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "MELLO",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "239-592-9666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0063724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K1003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collier Home Care LLC
• Collier Medical Specialists, Inc
• Collier Medical, LLC
• Collier Neurologic Specialists LLC
• Collier Otolaryngology Hearing Center
• Collier Pathology Services P a
• Collier Pharmaceutical Services Inc (Lakeview Pharmacy)
• Collier Physician Services LLC
• Collier Podiatry, P.a.
• Collier Rehab LLC

• Specialist in Naples, FL
• Providers in Naples, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.