NORTHEAST ENT – NPI #1649345711
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

Health Care Provider Taxonomy Code for Otolaryngology

NORTHEAST ENT is an otolaryngologist located in NORTH DARTMOUTH, MA. NPPES has assigned the NPI number 1649345711 to NORTHEAST ENT on November 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 13 years ago on Jun 05, 2013. 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 NORTHEAST ENT below.

NPI Profile for
NORTHEAST ENT

NPI Number
1649345711
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
NORTHEAST ENT
Primary location
299 FAUNCE CORNER RD
NORTH DARTMOUTH, MA 02747
Phone: (508) 995-0700 Fax: (508) 995-3070
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBORAH CORNWALL
PRACTICE ADMINISTRATOR
Phone: (508) 207-4462
Updated
Identifiers

Identifiers for NORTHEAST ENT

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
MEDICAIDMA9773312
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
207YS0123X
- Otolaryngology / Facial Plastic Surgery (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.