Downriver ENT, P.C.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000351 Issued in MI

Legal business name

DOWNRIVER ENT, P.C.

Practice address

14575 Southfield Rd
Allen Park, MI 48101-2640

Phone

(313) 381-4911

Fax

(313) 381-8790

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Kimberly Hollister

Title

Doctor of Audiology

Phone

(313) 381-4911

Specialties & licenses 1

Addresses

Tax ID family

Downriver ENT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Downriver ENT PC

  • Clinic/Center
  • Allen Park, MI
  • NPI 1134304595
  NPD tax ID

Locations

Practitioners 1

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

• Lascelles Pinnock, M.D

  • Otolaryngology Physician
  • Allen Park, MI
  • NPI 1295766137
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1891017075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012640",
            "telephone_number": "313-381-4911",
            "fax_number": "313-381-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012640",
            "telephone_number": "313-381-4911",
            "fax_number": "313-381-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER ENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "313-381-4911"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincenzo Didato, REGISTERED DIETITIAN
• Discover Chiropractic Healthcare P.C.
• Melissa Ann Domingo, OTRL
• Downriver Centers Inc
• Downriver ENT PC
• Downriver Pain Management & Rehab LLC
• Downriver Professional Counseling, PLLC
• Downriver Spine Management Clinic P.L.L.C
• Downriver Spine Management Clinic PLLC
• Downriver Vascular Associates PLC

• Audiologist-Hearing Aid Fitter in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.