ENT SPECIALISTS, P.C. – NPI #1104996842
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.

ENT SPECIALISTS, P.C. is an otolaryngologist located in NOVI, MI. NPPES has assigned the NPI number 1104996842 to ENT SPECIALISTS, P.C. on November 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 last updated on Jan 28, 2026. 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 ENT SPECIALISTS, P.C. below.

NPI Profile for
ENT SPECIALISTS, P.C.

NPI Number
1104996842
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
ENT SPECIALISTS, P.C.
Primary location
25500 MEADOWBROOK RD
STE 220
NOVI, MI 48375-1878
Phone: (248) 477-7020 Fax: (248) 477-2440
2 Other location(s):
31100 Telegraph Rd Ste 230
Bingham Farms, MI 48025-4347
Phone: (248) 477-7020
Fax: (248) 477-2440
6249 Grand River Rd
Brighton, MI 48114-5305
Phone: (248) 477-7020
Fax: (248) 477-2440
Mailing address
25500 MEADOWBROOK RD STE 220
NOVI, MI 48375-1882
Phone: (248) 477-7020 Fax: (248) 477-2440
Organization Subpart
No
Authorized Official
JESSICA MACKIE
PRACTICE MANAGER
Phone: (248) 477-7020
Updated
Certification Date
Jan 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.