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SUMMIT ALLERGY ASTHMA ENT PLLC NPI 1215671094


NPI Information

NPI: 1215671094
Provider Name: SUMMIT ALLERGY ASTHMA ENT PLLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
4447 S CANYON RD STE 6
RAPID CITY, SD
ZIP 57702
Phone: (605) 716-0548
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SUMMIT ALLERGY ASTHMA ENT PLLC is an otolaryngology in Rapid City, SD. The provider is 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. SUMMIT ALLERGY ASTHMA ENT PLLC NPI is 1215671094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4447 S CANYON RD STE 6
RAPID CITY, SD
ZIP 57702-889
Phone: (605) 716-0548

The provider's authorized official is Vaughan Richard Bowen .
The authorized official title is Owner and has the following contact phone number (605) 716-0548.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 4/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376520049MEDICAIDSOUTH DAKOTA
21124484688MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.