Organization Active NPI

Sharon Ear, Nose and Throat, PC

  • Otolaryngology Physician
  • Sharon, CT
National Provider Identifier
1881880813
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
034947 Issued in CT
Legal business name
SHARON EAR, NOSE AND THROAT, PC
Practice address
29 Hospital Hill Rd
Suite 1900
Sharon, CT 06069-2095
Phone
(860) 364-1264
Fax
(860) 364-2074
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Ari J Namon
Title
President
Phone
(860) 364-1264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 034947 CT Primary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 034947 CT

Addresses

Primary practice location

29 Hospital Hill Rd
Suite 1900
Sharon, CT 06069-2095

Mailing address

PO Box 617
Sharon, CT 06069-0617
Phone (860) 364-1264

Other identifiers 2

IdentifierTypeStateIssuer
2086671MedicaidMA
001349473MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1881880813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060690617",
            "telephone_number": "860-364-1264",
            "fax_number": "860-364-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL HILL RD",
            "address_2": "SUITE 1900",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692095",
            "telephone_number": "860-364-1264",
            "fax_number": "860-364-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON EAR, NOSE AND THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "NAMON",
        "authorized_official_first_name": "ARI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-364-1264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "034947",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CT",
            "license": "034947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086671",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349473",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.