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ADVANCED ENT NPI 1336221936


NPI Information

NPI: 1336221936
Provider Name: ADVANCED ENT

Other Name: MARK FREY MD

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
401 E GOLD COAST RD STE 331
PAPILLION, NE
ZIP 68046
Phone: (402) 292-9800
Get Directions

ADVANCED ENT is an otolaryngology in Papillion, NE. 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. ADVANCED ENT NPI is 1336221936. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mark Frey Md.

The provider's business location address is:

401 E GOLD COAST RD STE 331
PAPILLION, NE
ZIP 68046-194
Phone: (402) 292-9800
Fax: (402) 292-2550

The provider's authorized official is Jeri Digilio-werner .
The authorized official title is Office Manager and has the following contact phone number (402) 621-6486.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/7/2023.


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
11336116797OTHERNPI
20588731MEDICAIDIOWA
310025184900MEDICAIDNEBRASKA

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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