MR. STEVEN THOMAS PANTELAKOS


Address: 1839 Quiet Cove, Fayetteville, NC 28304-3857
Phone: 9103231463

MR. STEVEN THOMAS PANTELAKOS (NPI# 1164488797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164488797
Entity Type Individual
Full Name MR. STEVEN THOMAS PANTELAKOS
Credential MD
Practice Address 1839 Quiet Cove
Fayetteville
NC 28304-3857
Practice Telephone 9103231463
Practice Fax Number 9103231575
Mailing Telephone 9103231463
Mailing Fax Number 9103231575
Enumeration Date 2006-04-22
Last Update Date 2010-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 33880 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8965192 05
NC RAILROAD MEDICARE 040006955 01
NC BCBS 65192 01

Office Location

Street Address 1839 QUIET COVE
City FAYETTEVILLE
State NC
Zip Code 28304-3857

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346206976 Kenneth Thomas Bellian Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-22
1376509778 William James Wiggs Jr. Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-25
1427014059 John Henley Jr. Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-22

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NPI Name Taxonomy Address Enumeration
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1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
1912911934 Carlton Lee Chambers IIi Otolaryngology 228 E Sunbridge Dr, V A Ent Clinic, Fayetteville, AR 72703-1823 2006-07-27
1346206976 Kenneth Thomas Bellian Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-22
1417935461 Sabina Petra Francis Otolaryngology 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304 2006-01-09
1316346976 Cumberland County Hospital System Inc Otolaryngology 1565 Purdue Dr, Suite 301, Fayetteville, NC 28303-5536 2014-08-20
1760780688 Lincoln Ear Nose and Throat Otolaryngology 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 2011-03-01
1790001758 Shan Tang Otolaryngology 1839 Quiet Cv, Fayetteville, NC 28304-3857 2010-04-15
1104023951 Elizabeth Mccurdy Hueman Otolaryngology 1839 Quiet Cv, Fayetteville, NC 28304-3857 2007-06-27
1376509778 William James Wiggs Jr. Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-25
1255397881 Robert Richard Friedrichs Otolaryngology 2053 Valleygate Drive, Ste. 101, Fayetteville, NC 28304-3983 2006-04-22
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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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