SOUTHERN WV ENT – NPI #1497103386
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

SOUTHERN WV ENT is an otolaryngologist located in LEWISBURG, WV. NPPES has assigned the NPI number 1497103386 to SOUTHERN WV ENT on June 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN WV ENT” is a dba name, the actual legal business name for this organization is SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC. 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 10 years ago on Jun 22, 2016. 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 SOUTHERN WV ENT below.

NPI Profile for
SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC

NPI Number
1497103386
Enumeration Date

(more than 10 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
SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC
Doing Business As (dba): SOUTHERN WV ENT
Primary location
206 SKYLAR DR
LEWISBURG, WV 24901-9383
Phone: (681) 318-3540 Fax: (877) 712-1319
Mailing address
PO BOX 5482
BECKLEY, WV 25801-7506
Phone: (304) 929-6930 Fax: (304) 929-6935
Organization Subpart
No
Authorized Official
JUSTIN DOUGLAS
OWNER/PRESIDENT
Phone: (304) 929-6930
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)		 WV 23770

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.