NPIMap

Organization Active NPI

Ear Nose Throat Specilist Portsmouth Inc

  • Otolaryngology Physician
  • Chesapeake, VA
National Provider Identifier
1982862991
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR NOSE THROAT SPECILIST PORTSMOUTH INC
Practice address
4053 Taylor Rd
Suite M
Chesapeake, VA 23321-5537
Phone
(757) 483-1700
Fax
(757) 483-3973
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Nikia Cobb
Title
Manager
Phone
(757) 483-1700

Specialties & licenses 1

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

Addresses

Primary practice location

4053 Taylor Rd
Suite M
Chesapeake, VA 23321-5537

Mailing address

4053 Taylor Rd
Suite M
Chesapeake, VA 23321-5537
Phone (757) 483-1700

National Provider Directory

National Provider Directory

Locations

4053 Taylor Rd
Ste M
Chesapeake, VA 23321
Phone (757) 483-1700

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1982862991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE M",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-483-1700",
            "fax_number": "757-483-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE M",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-483-1700",
            "fax_number": "757-483-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT SPECILIST PORTSMOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-483-1700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.