Greensboro Ear Nose & Throat Associates PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

39952 Issued in NC

Legal business name

GREENSBORO EAR NOSE & THROAT ASSOCIATES PA

Practice address

1132 N Church St
Suite 200
Greensboro, NC 27401-1039

Phone

(336) 358-4268

Fax

(336) 544-7180

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jefry H Rosen I, MD

Title

Treasurer

Phone

(336) 358-4268

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• John M Byers, MD

  • Otolaryngology Physician
  • Greensboro, NC
  • NPI 1194779140
  NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1952372237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011039",
            "telephone_number": "336-358-4268",
            "fax_number": "336-544-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011039",
            "telephone_number": "336-358-4268",
            "fax_number": "336-544-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO EAR NOSE & THROAT ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JEFRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "336-358-4268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "39952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "01993",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4175",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001505",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Greensboro, NC
• Providers in Greensboro, 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 Jul 1, 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.