EASTERN ENT SINUS & ALLERGY CENTER, PA (NPI# 1003060757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003060757 |
| Entity Type | Organization |
| Organization Name | EASTERN ENT SINUS & ALLERGY CENTER, PA |
| Practice Address |
504 Balsey St Clinton NC 28328-2902 |
| Mailing Address |
2707 Medical Office Pl Goldsboro NC 27534-9458 |
| Practice Telephone | 9105929993 |
| Practice Fax Number | 9105939994 |
| Mailing Telephone | 9197359146 |
| Mailing Fax Number | 9197350582 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | DANIEL WHITLEY JR. (PRESIDENT) |
| Authorized Official Telephone | 9197359146 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTERN ENT SINUS & ALLERGY CENTER, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 28594 | NC | Other Service Providers |
| Street Address |
504 BALSEY ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543950 | Latesha Powell | Specialist | 8708 Shannan Dr, Clinton, MD 20735-2447 | 2016-04-13 |
| 1093111775 | Becquelyn Green | Specialist | 104 Elgin Pl, Clinton, MS 39056-3946 | 2014-11-07 |
| 1710301908 | Heather Oakes | Specialist | 8577 Wonderland Ave Nw, Clinton, OH 44216-9516 | 2014-02-10 |
| 1366870347 | Jay De Vera | Specialist | 417 W Elizabeth St Apt A, Clinton, NC 28328-4465 | 2013-10-29 |
| 1346676459 | Belinda Gail Holt | Specialist | 814 W Gary Blvd, Clinton, OK 73601-2720 | 2013-09-20 |
| 1689000879 | Salim Y. Mansoor M.d., P.a. | Specialist | 7501 Surratts Rd Ste 110, Clinton, MD 20735-3350 | 2013-09-19 |
| 1003183666 | Rosemary S Marcus | Specialist | 102 College St, Clinton, NY 13323-1637 | 2011-11-28 |
| 1487804936 | Amecia Dore Usual | Specialist | 9135 Piscataway Rd Ste 340, Clinton, MD 20735-2576 | 2008-09-21 |
| 1548440290 | Carlene Oliver | Specialist | 407 Oak Tree Dr, Clinton, MI 49236-9739 | 2007-11-10 |
| 1356520746 | Bruce A Marshall Md Pa | Specialist | 104 Medical Park Ct, Clinton, SC 29325-7537 | 2007-11-01 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.