STARFISH PEDIATRIC ENT, LLC – NPI #1609491737
Otolaryngology

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

STARFISH PEDIATRIC ENT, LLC is an otolaryngologist located in GOOSE CREEK, SC. NPPES has assigned the NPI number 1609491737 to STARFISH PEDIATRIC ENT, LLC on June 15, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YP0228X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Pediatric Otolaryngology

The NPI profile was previously updated about 6 years ago on Aug 10, 2020. 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 STARFISH PEDIATRIC ENT, LLC below.

NPI Profile for
STARFISH PEDIATRIC ENT, LLC

NPI Number
1609491737
Enumeration Date

(about 6 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
STARFISH PEDIATRIC ENT, LLC
Primary location
110B SPRINGHALL DR
GOOSE CREEK, SC 29445-5335
Phone: (843) 738-0218 Fax: (843) 207-4975
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE HARRIS
OWNER
Phone: (843) 738-0218
Updated
Certification Date
Aug 10, 2020

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
207YP0228X
- Otolaryngology / Pediatric 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.