SOUTHSIDE EAR, NOSE & THROAT – NPI #1194803338
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

SOUTHSIDE EAR, NOSE & THROAT is an otolaryngologist located in COLONIAL HEIGHTS, VA. NPPES has assigned the NPI number 1194803338 to SOUTHSIDE EAR, NOSE & THROAT on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHSIDE EAR, NOSE & THROAT” is a dba name, the actual legal business name for this organization is SOUTHSIDE HEAD N NECK SURGERY PROFESSIONAL CORP. 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 12 years ago on Jul 01, 2014. 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 SOUTHSIDE EAR, NOSE & THROAT below.

NPI Profile for
SOUTHSIDE HEAD N NECK SURGERY PROFESSIONAL CORP

NPI Number
1194803338
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
SOUTHSIDE HEAD N NECK SURGERY PROFESSIONAL CORP
Doing Business As (dba): SOUTHSIDE EAR, NOSE & THROAT
Primary location
930 SOUTH AVE.
SUITE 4B
COLONIAL HEIGHTS, VA 23834
Phone: (804) 504-0530 Fax: (804) 504-0532
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID CANGCUESTA
PHYSICIAN/OWNER
Phone: (804) 337-1110
Updated
Identifiers

Identifiers for SOUTHSIDE EAR, NOSE & THROAT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE RAILROADVA040009007
OTHERMEDICARE RAILROADVAP00002082
OTHERMEDICARE RAILROADVA006555055
OTHERMEDICARE RAILROADVAP00002088
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)		 VA 0101036702

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.