EAR, NOSE, THROAT & ALLERGY CONSULTANTS, PC (NPI# 1134564073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134564073 |
| Entity Type | Organization |
| Organization Name | EAR, NOSE, THROAT & ALLERGY CONSULTANTS, PC |
| Practice Address |
26208 Lee Highway Abingdon VA 24211-7504 |
| Practice Telephone | 2764513044 |
| Practice Fax Number | 2764513045 |
| Mailing Telephone | 2764513044 |
| Mailing Fax Number | 2764513045 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | LETICIA IBARRA PELTZER (OWNER/PROVIDER) |
| Authorized Official Telephone | 2766988099 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101238767 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
26208 LEE HIGHWAY |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1487140562 | Joshua Aaron Hess | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-07-02 |
| 1073005989 | Carl Thurman Harrison Jr. | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-06-06 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437189149 | Leticia Ibarra Peltzer | Otolaryngology | 26208 Lee Hwy, Abingdon, VA 24211-7504 | 2006-07-05 |
| 1942296652 | James Meron Wade | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2836 | 2005-09-27 |
| 1598062341 | Randolph Robinson Cole | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2836 | 2011-02-14 |
| 1194872242 | Abingdon Physician Partners (dba) Ear, Nose and Throat Specialty Cente | Otolaryngology | 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7659 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
| 1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
| 1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
| 1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
| 1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| 1538462189 | Jon Bruce Hagadorn | Otolaryngology | 3136 W Club Dr, Salem, VA 24153-6823 | 2010-12-20 |
| Find all providers with the same taxonomy | ||||
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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.