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NORTHERN PINES EAR NOSE AND THROAT SC NPI 1235281189


NPI Information

NPI: 1235281189
Provider Name: NORTHERN PINES EAR NOSE AND THROAT SC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
4956 BULLIS FARM RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 831-3300
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NORTHERN PINES EAR NOSE AND THROAT SC is an otolaryngology in Eau Claire, WI. 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. NORTHERN PINES EAR NOSE AND THROAT SC NPI is 1235281189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4956 BULLIS FARM RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 831-3300
Fax: (715) 831-7958

The provider's authorized official is Michelle Lee Facer .
The authorized official title is Otolaryngologist and has the following contact phone number (715) 831-3300.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/1/2008.


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
1207Y00000XOtolaryngology44656WISCONSINYes

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
1H09776MEDICARE UPIN
2102518OTHERHEALTHPARTNERS
3DC0240OTHERRR MEDICARE
4000066002MEDICARE PIN
543498800MEDICAIDWISCONSIN

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: 4/28/2024

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