Organization Active NPI

Ear, Nose, Throat Associates of Orlando, PLLC

  • Otolaryngology Physician
  • Winter Park, FL
National Provider Identifier
1871048736
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE, THROAT ASSOCIATES OF ORLANDO, PLLC
Practice address
1035 N Orlando Ave
Ste#205
Winter Park, FL 32789-2213
Phone
(407) 636-5384
Fax
(407) 636-5385
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Julia Chumbley
Title
Credentailing Coordinator
Phone
(904) 685-8545

Specialties & licenses 1

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

Addresses

Primary practice location

1035 N Orlando Ave
Ste#205
Winter Park, FL 32789-2213

Mailing address

1035 N Orlando Ave
Ste#205
Winter Park, FL 32789-2213
Phone (407) 636-5384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871048736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N ORLANDO AVE",
            "address_2": "STE#205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892213",
            "telephone_number": "407-636-5384",
            "fax_number": "407-636-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ORLANDO AVE",
            "address_2": "STE#205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892213",
            "telephone_number": "407-636-5384",
            "fax_number": "407-636-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT ASSOCIATES OF ORLANDO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHUMBLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CREDENTAILING COORDINATOR",
        "authorized_official_telephone_number": "904-685-8545"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.