SAINT BLAISE EAR NOSE AND THROAT PA (NPI# 1144305475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144305475 |
| Entity Type | Organization |
| Organization Name | SAINT BLAISE EAR NOSE AND THROAT PA |
| Practice Address |
9936 Us Highway 311 Archdale NC 27263-8826 |
| Practice Telephone | 3368832765 |
| Practice Fax Number | 3368839066 |
| Mailing Telephone | 3368832765 |
| Mailing Fax Number | 3368839066 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | DR. WILLIAM ARNOLD PINCUS (PRESIDENT) |
| Authorized Official Telephone | 3368832765 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
9936 US HIGHWAY 311 |
| City | ARCHDALE |
| State | NC |
| Zip Code | 27263-8826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240997 | Hubert L Fiery | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-01-20 |
| 1306262936 | Randolph Specialty Group Practice | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2014-03-06 |
| 1942228333 | Julienne S. Connor | Physician Assistant | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635725 | Home Care Premier Services, LLC | In Home Supportive Care | 10948e N. Main St, Archdale, NC 27263 | 2019-02-14 |
| 1740667807 | One Care Nc Inc | Home Health | 104418 North Main St, Archdale, NC 27263 | 2015-04-28 |
| 1720327968 | The Heag Pain Management Center Pa | Anesthesiology | 106 Baker Road, Archdale, NC 27263 | 2013-02-07 |
| 1548528177 | Christine Marie Enderlin | Counselor | 5373 Johnson Street, Archdale, NC 27263 | 2012-05-02 |
| 1922382654 | David Alan Rappaport | Pharmacist | 2850 South Main Street, Suite 101, High Point, NC 27263 | 2011-09-29 |
| 1508190430 | Carolina Drug of Randolph County LLC | Pharmacy | 10102 Unit S, South Main Street, Archdale, NC 27263 | 2009-09-24 |
| 1003064528 | Kenny Clinic of Chiropractic, P.a. | Chiropractor | 2400 S. Main St., High Point, NC 27263 | 2008-09-09 |
| 1689750234 | John David Ellington | Dentist | 3203 Archdale Rd, Archdale, NC 27263 | 2006-10-27 |
| 1831270214 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2628 S. Main Street, High Point, NC 27263 | 2006-10-18 |
| 1639262488 | Earnst Clinic Inc | Chiropractor | 231 Baker Road, High Point, NC 27263 | 2006-10-02 |
| Find all providers in zip 27263 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958229 | Gregory Allen Garth | Otolaryngology | 895 State Farm Road, Suite 301, Boone, NC 28607-4917 | 2008-07-07 |
| 1902822976 | John Brian Thomas Wood | Otolaryngology | 1141 North Road Street, Ste K, Elizabeth City, NC 27909 | 2006-07-14 |
| 1629048004 | Jared Spector | Otolaryngology | 601 Keisler Dr, Suite 200, Cary, NC 27518-6566 | 2006-01-26 |
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1225037195 | Edward J Silvoy | Otolaryngology | 1010 X Ray Dr, Suite A, Gastonia, NC 28054-7488 | 2005-07-21 |
| 1053976415 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-01 |
| 1730639394 | Granville Health Inc. | Otolaryngology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2016-10-07 |
| 1043620347 | J Madison Clark Md Pllc | Otolaryngology | 1248 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8700 | 2014-05-07 |
| 1619126992 | Randolph Specialty Group Practice | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2008-09-11 |
| 1700084951 | High Country Ear Nose and Throat Pllc | Otolaryngology | 895 State Farm Rd, Ste 303, Boone, NC 28607 | 2007-07-10 |
| 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.