Organization Active NPI

Wythe Ear, Nose, & Throat, P.C.

  • Otolaryngology Physician
  • Wytheville, VA
National Provider Identifier
1962828723
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0102203300 Issued in VA
Legal business name
WYTHE EAR, NOSE, & THROAT, P.C.
Practice address
1787 W Lee Hwy
Wytheville, VA 24382-1437
Phone
(276) 227-0922
Fax
(276) 227-0925
NPI assigned
Mar 17, 2014
Last updated
Apr 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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

Authorized official

Name
Dr. Keneth Rogotzke, DO
Title
President
Phone
(276) 227-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0102203300 VA Primary

Addresses

Primary practice location

1787 W Lee Hwy
Wytheville, VA 24382-1437

Mailing address

1787 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 227-0922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398556800000",
    "number": "1962828723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821437",
            "telephone_number": "276-227-0922",
            "fax_number": "276-227-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821437",
            "telephone_number": "276-227-0922",
            "fax_number": "276-227-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHE EAR, NOSE, & THROAT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-04-27",
        "status": "A",
        "authorized_official_last_name": "ROGOTZKE",
        "authorized_official_first_name": "KENETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-227-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0102203300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.