ENT Surgical Associates of Central Ga, PC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

ENT SURGICAL ASSOCIATES OF CENTRAL GA, PC

Practice address

1719 Russell Pkwy
BLDG 300, Ste 301
Warner Robins, GA 31088-5763

Phone

(478) 923-0106

Fax

(478) 922-5211

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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

Alain Daniel Toland, D.O,NPI 1386690972

Title

Medical Director

Phone

(478) 923-0106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

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.

• Alain Daniel Toland, D.O

  • Otolaryngology Physician
  • Warner Robins, GA
  • NPI 1386690972
  Medicare reassignment Care Compare group NPD Authorized official
• Melinda Shea White, AU.D.FAAA,CCC-A

  • Audiologist
  • Warner Robins, GA
  • NPI 1205988078
  Medicare reassignment Care Compare group NPD
• Erin Tapley Burch, FNP-C

  • Nurse Practitioner
  • Warner Robins, GA
  • NPI 1568611424
  Medicare reassignment NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972655215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY",
            "address_2": "BLDG 300, STE 301",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885763",
            "telephone_number": "478-923-0106",
            "fax_number": "478-922-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY",
            "address_2": "BLDG 300, STE 301",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885763",
            "telephone_number": "478-923-0106",
            "fax_number": "478-922-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGICAL ASSOCIATES OF CENTRAL GA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLAND",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "478-923-0106",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alphonsa J Erinjeri, M.D.

• Otolaryngology/Facial Plastic Surgery Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.