Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC

Practice address

1505 SW Cary Pkwy
Suite 301
Cary, NC 27511-6219

Phone

(919) 367-9774

Fax

(919) 420-2028

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By 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

Joanne P Davis

Title

Administrator

Phone

(919) 420-2027

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Raleigh Ear Nose and Throat Head and Neck Surgery Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Raleigh Ear, Nose, and Throat Head and Neck Surgery, Inc

  • Hearing Instrument Specialist
  • Raleigh, NC
  • NPI 1790913861
  NPD tax ID
• Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc

  • Otolaryngology Physician
  • Raleigh, NC
  • NPI 1255569521
  NPD tax ID

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1891923165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18946",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198946",
            "telephone_number": "919-787-7171",
            "fax_number": "919-420-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-367-9774",
            "fax_number": "919-420-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-420-2027"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015XH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Durham Medical Group PA (Cornerstone Pediatric & Adolescent Medicine)
• Raleigh Durham Medical Group PA (Gibbons Family Medicine)
• Raleigh Durham Medical Group, PA (Western Wake Wellness)
• Raleigh Durham Medical Group, PA (Carolina RHI)
• Raleigh Durham Medical Group, PA (Triangle Physicians, PC)
• Raleigh Holistic Healthcare (Autism Treatment Center of Raleigh)
• Raleigh NC Endoscopy ASC LLC (Raleigh Endoscopy Center - Cary)
• Raleigh Orthopaedic Clinic PA
• Raleigh Primary Care Specialists PLLC
• Raleigh's Durable Medical Supply LLC

• Otolaryngology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.