NORTHWEST ENT ASSOCIATES, PC – NPI #1821176967
Otolaryngology

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

NORTHWEST ENT ASSOCIATES, PC is an otolaryngologist located in MARIETTA, GA. NPPES has assigned the NPI number 1821176967 to NORTHWEST ENT ASSOCIATES, PC on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 14 years ago on Sep 28, 2012. 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 NORTHWEST ENT ASSOCIATES, PC below.

NPI Profile for
NORTHWEST ENT ASSOCIATES, PC

NPI Number
1821176967
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
NORTHWEST ENT ASSOCIATES, PC
Primary location
80 LACY ST NW
MARIETTA, GA 30060
Phone: (770) 427-0368 Fax: (678) 581-5969
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLOS EGEA
ADMINISTRATOR
Phone: (770) 427-0368
Updated
Identifiers

Identifiers for NORTHWEST ENT ASSOCIATES, PC

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.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDGA10041532
MEDICAIDGA310744
MEDICAIDGA310745
MEDICAIDGA303310
MEDICAIDGA00868524B
MEDICAIDGA00403851E
MEDICAIDGA00553385C
MEDICAIDGA582064647
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)
GA 041239
207Y00000X
- Otolaryngology
GA 36884

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.