Ear, Nose and Throat & Facial Plastic Surgery, P.a.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

EAR, NOSE AND THROAT & FACIAL PLASTIC SURGERY, P.A.

Practice address

107 Millsaps Dr
Hattiesburg, MS 39402-1348

Phone

(601) 268-5131

Fax

(601) 268-5138

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edwin Guice III, M.D.

Title

President

Phone

(601) 268-5131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Larry Hale Day, MD

  • Otolaryngic Allergy Physician
  • Hattiesburg, MS
  • NPI 1285695288
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1881769032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17829",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047829",
            "telephone_number": "601-268-5131",
            "fax_number": "601-268-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021348",
            "telephone_number": "601-268-5131",
            "fax_number": "601-268-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE AND THROAT & FACIAL PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-268-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011650",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergey S Dzugan, M.D.
• E L Brown Company LLC
• Eagle Labs 1
• Eagle Labs 2 LLC
• Eagle'S Pointe Clinic of Chiropractic LLC
• Briana Easley
• Ronda Carol Eason-Hinton, FNP-BC
• Mary Morgan East, PT
• Kerri Michelle Easterling, OTD, OTR/L
• Letoria Easterling

• Otolaryngology/Facial Plastic Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.