Provider Type Icon

BAPTIST ENT SPECIALISTS INC NPI 1114477940


NPI Information

NPI: 1114477940
Provider Name: BAPTIST ENT SPECIALISTS INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1348 S 18TH ST
SUITE 340
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 775-5957
Get Directions

BAPTIST ENT SPECIALISTS INC is an otolaryngology in Fernandina Beach, FL. 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. BAPTIST ENT SPECIALISTS INC NPI is 1114477940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1348 S 18TH ST
SUITE 340
FERNANDINA BEACH, FL
ZIP 32034-785
Phone: (904) 775-5957
Fax: (904) 844-2149

The provider's authorized official is Catherine Graham .
The authorized official title is Administrator and has the following contact phone number (904) 202-5370.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyFLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004630400MEDICAIDFLORIDA
2FE390BMEDICARE PINFLORIDA
3DS0498OTHERFLORIDARR MEDICARE

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: 5/5/2024

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.