RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. – NPI #1306814116
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. is an otolaryngologist located in RUSSELLVILLE, AR. NPPES has assigned the NPI number 1306814116 to RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. on March 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 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 RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A. below.

NPI Profile for
RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A.

NPI Number
1306814116
Enumeration Date

(more than 20 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
RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A.
Primary location
106 S INGLEWOOD AVE
RUSSELLVILLE, AR 72801-3353
Phone: (479) 968-5261 Fax: (479) 968-4761
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NATHAN AUSTIN
OWNER
Phone: (479) 968-5261
Updated
Identifiers

Identifiers for RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A.

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
OTHERARK. BCBSAR57789
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
207YX0905X
- Otolaryngology / 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.