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ADVANCED EAR NOSE & THROAT SPECIALISTS SC NPI 1689782427


NPI Information

NPI: 1689782427
Provider Name: ADVANCED EAR NOSE & THROAT SPECIALISTS, SC

Doing Business As: ADVENT

Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

CLIA Number: 14D2284207

Address:
2885 N MAYFAIR RD
MILWAUKEE, WI
ZIP 53222
Phone: (888) 889-3838
Get Directions

ADVANCED EAR NOSE & THROAT SPECIALISTS, SC is a plastic surgery within the head and neck otolaryngology in Milwaukee, WI. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. ADVANCED EAR NOSE & THROAT SPECIALISTS, SC NPI is 1689782427. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advent.

The provider's business location address is:

2885 N MAYFAIR RD
MILWAUKEE, WI
ZIP 53222-404
Phone: (888) 889-3838

The provider's authorized official is Madan N Kandula .
The authorized official title is Ceo and has the following contact phone number (888) 938-3838.

The CLIA number assigned to this NPI record is 14D2284207 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 10/26/2021.


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
1231H00000XAudiologist434 156WISCONSINNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck44930 020WISCONSINYes

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
134336200MEDICAIDWISCONSIN

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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