ENT Surgical Group,PC

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

Legal business name

ENT SURGICAL GROUP,PC

Practice address

423 3Rd Ave
Suite C
Kingston, PA 18704-5809

Phone

(570) 714-3434

Fax

(570) 714-6355

NPI assigned

Jul 16, 2006

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

Dr. Michael Anthony Olenginski, D.O.NPI 1881624856

Title

President

Phone

(570) 714-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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.

• Michael A Olenginski, D.O.

  • Otolaryngology Physician
  • Kingston, PA
  • NPI 1881624856
  Medicare reassignment Care Compare group Authorized official
• Louis Joseph Mariotti, D. O.

  • Otolaryngic Allergy Physician
  • Kingston, PA
  • NPI 1437139300
  Medicare reassignment Care Compare group
• Gretchen Janinia Krant, M.S.P.A-C

  • Physician Assistant
  • Matthews, NC
  • NPI 1235159260

  PA

  Medicare reassignment
• Eugene E Stec, MD

  • Otolaryngology Physician
  • Westerly, RI
  • NPI 1245260207

  PA

  Medicare reassignment
• Casey Gaul I, AU.D.,CCC-A,FAAA

  • Audiologist-Hearing Aid Fitter
  • Kingston, PA
  • NPI 1962012492
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992722870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "address_2": "SUITE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "address_2": "SUITE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGICAL GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLENGINSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-714-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006944850002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon Adley Ellman, DPM
• Jeffrey Scott Empfield, OD
• Endocrine Specialty Group Inc. (Coordinated Care of Kingston)
• Endodontic Associates of NE PA, P.C.
• Endodontic Specialists of Nepa, P.C.
• Kristen Epting, OD
• Erwine Care at Home, LLC
• Erwines Home Health and Hospice, Inc
• Erwines Private Duty Health Care, Inc.
• Brooke Michelle Evans

• Otolaryngology Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Otolaryngology Physician in Pennsylvania

• 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.