GRAND RAPIDS EAR NOSE AND THROAT PC – NPI #1063639870
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

GRAND RAPIDS EAR NOSE AND THROAT PC is an otolaryngologist located in WYOMING, MI. NPPES has assigned the NPI number 1063639870 to GRAND RAPIDS EAR NOSE AND THROAT PC on April 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND RAPIDS EAR NOSE AND THROAT PC” is a dba name, the actual legal business name for this organization is THOMAS W PFENNIG DO. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 11 years ago on Jul 09, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND RAPIDS EAR NOSE AND THROAT PC below.

NPI Profile for
THOMAS W PFENNIG DO

NPI Number
1063639870
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THOMAS W PFENNIG DO
Doing Business As (dba): GRAND RAPIDS EAR NOSE AND THROAT PC
Primary location
1555 - 44TH STREET SW
WYOMING, MI 49509
Phone: (616) 249-8000 Fax:
Mailing address
1555 44TH ST SW
WYOMING, MI 49509-4395
Phone: (616) 249-8000 Fax:
Organization Subpart
No
Authorized Official
THOMAS PFENNIG
OWNER
Phone: (616) 249-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.