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COMMONWEALTH EAR NOSE & THROAT SPECIALISTS PC NPI 1720190390


NPI Information

NPI: 1720190390
Provider Name: COMMONWEALTH EAR, NOSE & THROAT SPECIALISTS PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 49D1059997

Address:
14051 ST FRANCIS BLVD
SUITE 2211
MIDLOTHIAN, VA
ZIP 23114
Phone: (540) 345-3556
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COMMONWEALTH EAR, NOSE & THROAT SPECIALISTS PC is an otolaryngology in Midlothian, VA. 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. COMMONWEALTH EAR, NOSE & THROAT SPECIALISTS PC NPI is 1720190390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14051 ST FRANCIS BLVD
SUITE 2211
MIDLOTHIAN, VA
ZIP 23114-201
Phone: (540) 345-3556
Fax: (540) 342-2193

The provider's authorized official is Patrick J Gibbons .
The authorized official title is President and has the following contact phone number (540) 345-3556.

The CLIA number assigned to this NPI record is 49D1059997 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/14/2010.


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
1207Y00000XOtolaryngology010122975VIRGINIAYes

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
100X147X01MEDICARE PINVIRGINIA
2C09917MEDICARE PINVIRGINIA
3006501478MEDICAIDVIRGINIA
4269573OTHERVIRGINIAANTHEM
5H35805MEDICARE UPINVIRGINIA

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

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