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PEDIATRIC EAR NOSE & THROAT SPECIALISTS SC NPI 1528102498


NPI Information

NPI: 1528102498
Provider Name: PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC
Classification: Otolaryngology - 207YP0228X
Entity Type: Organization

Specialization: Pediatric Otolaryngology

Address:
9000 W WISCONSIN AVE
SUITE 265
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-2761
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PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC is a pediatric otolaryngology otolaryngology in Milwaukee, WI. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. PEDIATRIC EAR, NOSE & THROAT SPECIALISTS SC NPI is 1528102498. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9000 W WISCONSIN AVE
SUITE 265
MILWAUKEE, WI
ZIP 53226-518
Phone: (414) 266-2761
Fax: (414) 266-2766

The provider's authorized official is David J Beste .
The authorized official title is President and has the following contact phone number (414) 266-2761.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 5/30/2012.


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
1207YP0228XOtolaryngologyPediatric Otolaryngology43113WISCONSINNo
2207YP0228XOtolaryngologyPediatric Otolaryngology22968WISCONSINYes

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
138005MEDICARE UPINWISCONSIN
230581400MEDICAIDWISCONSIN
3B51543MEDICARE UPINWISCONSIN
434060600MEDICAIDWISCONSIN
573666MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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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