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EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC NPI 1366572158


NPI Information

NPI: 1366572158
Provider Name: EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
1600 NW 6TH ST
SOUTH SUITE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-7775
Get Directions

EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC is an otolaryngology/facial plastic surgery otolaryngology in Grants Pass, OR. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC NPI is 1366572158. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 NW 6TH ST
SOUTH SUITE
GRANTS PASS, OR
ZIP 97526-094
Phone: (541) 476-7775
Fax: (541) 476-3572

The provider's authorized official is Jeanne Reece .
The authorized official title is Office Manager and has the following contact phone number (541) 476-7775.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 4/24/2014.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD19356OREGONNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryDO20532OREGONNo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD10466OREGONYes

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
1111712MEDICARE ID-TYPE UNSPECIFIEDOREGON
2OOWCGMKAMEDICARE ID-TYPE UNSPECIFIEDOREGON
3D73140MEDICARE UPINOREGON
4G05255MEDICARE UPINOREGON
5G50481MEDICARE UPINOREGON
6073655MEDICAIDOREGON
7232900MEDICAIDOREGON
8OOWCGMKDMEDICARE ID-TYPE UNSPECIFIEDOREGON
9150358MEDICAIDOREGON

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.