NPIMap

Organization Active NPI

ENT and Sinus Specialists, P.C.

  • Otolaryngology Physician
  • Suwanee, GA
National Provider Identifier
1952583486
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
53010 Issued in GA
Legal business name
ENT AND SINUS SPECIALISTS, P.C.
Practice address
3890 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-1284
Phone
(770) 232-5253
Fax
(770) 232-5202
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Matthew Olearczyk, MDNPI 1851396832
Title
President
Phone
(770) 232-5253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 53010 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-1284

Mailing address

3890 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-1284
Phone (770) 232-5253

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1952583486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241284",
            "telephone_number": "770-232-5253",
            "fax_number": "770-232-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241284",
            "telephone_number": "770-232-5253",
            "fax_number": "770-232-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND SINUS SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "OLEARCZYK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-232-5253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "53010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.