LAKELANDS EAR NOSE AND THROAT – NPI #1134981947
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

LAKELANDS EAR NOSE AND THROAT is an otolaryngologist located in GREENWOOD, SC. NPPES has assigned the NPI number 1134981947 to LAKELANDS EAR NOSE AND THROAT on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKELANDS EAR NOSE AND THROAT” is a dba name, the actual legal business name for this organization is SELF MEDICAL GROUP. With multiple taxonomy codes selected, 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 Jun 12, 2024. 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 LAKELANDS EAR NOSE AND THROAT below.

NPI Profile for
SELF MEDICAL GROUP

NPI Number
1134981947
Enumeration Date

(more than 2 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
SELF MEDICAL GROUP
Doing Business As (dba): LAKELANDS EAR NOSE AND THROAT
Primary location
1015 SPRING ST
GREENWOOD, SC 29646-3831
Phone: (864) 227-6741 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
CEO
Phone: (864) 725-4780
Updated
Certification Date
Jun 12, 2024

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)
231H00000X
- Audiologist

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.