PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC – NPI #1366523904
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.

PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC is an otolaryngologist located in CHESTER, PA. NPPES has assigned the NPI number 1366523904 to PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC on October 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on Apr 21, 2021. 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 PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC below.

NPI Profile for
PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC

NPI Number
1366523904
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
PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Primary location
2112 PROVIDENCE AVE
CHESTER, PA 19013-5507
Phone: (610) 874-5366 Fax: (610) 874-8448
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN FEEHERY
AUTHORIZED OFFICIAL
Phone: (610) 874-5366
Updated
Certification Date
Apr 21, 2021

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.

Identifiers

Identifiers for PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC

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
MEDICAIDPA000686231
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.