QUEEN CITY EAR NOSE AND THROAT PLLC


Address: 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660
Phone: 7049965353

QUEEN CITY EAR NOSE AND THROAT PLLC (NPI# 1174183156) 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) 1174183156
Entity Type Organization
Organization Name QUEEN CITY EAR NOSE AND THROAT PLLC
Practice Address 8924 Blakeney Professional Dr
Charlotte
NC 28277-6660
Mailing Address 2914 Cutter Ct
Waxhaw
NC 28173-8064
Practice Telephone 7049965353
Mailing Telephone 7049965353
Enumeration Date 2019-06-20
Last Update Date 2019-08-14
Authorized Official Name DARON JAMES SMITH (PHYSICIAN)
Authorized Official Telephone 7049965353
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1994 Wellness Blvd Ste 210, Monroe, NC 281107768 7049965353

Office Location

Street Address 8924 BLAKENEY PROFESSIONAL DR
City CHARLOTTE
State NC
Zip Code 28277-6660

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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
1598151763 Adam Richard Gigliotti Otolaryngology 400 E Stonewall St, Charlotte, NC 28202-3601 2015-04-14
1417978313 Mecklenburg Ear Nose and Throat Otolaryngology 2614 E Seventh St, Charlotte, NC 28204-4375 2006-07-23
1457388316 Steven B Heavner Otolaryngology 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 2006-06-27
1093769069 Ear Nose Throat & Audiology Associates of The Carolinas, P.a. Otolaryngology 7006 Shannon Willow Rd, Charlotte, NC 28226-1318 2006-05-22
1164490975 Hugh M Lovejoy Jr. Otolaryngology 2325 W Arbors Dr, Suite 201, Charlotte, NC 28262-2663 2006-03-08
1942206206 Jeffrey Einar Brink Otolaryngology 8035 Providence Rd Ste 320, Charlotte, NC 28277-8910 2005-06-22
1376917633 Dilworth Facial Plastic Surgery, Pllc Otolaryngology 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 2015-11-23
1295077014 Zachary John Cappello Otolaryngology 6035 Fairview Rd, Charlotte, NC 28210-3256 2013-03-19
1306196266 Isaac Dingle Otolaryngology 6035 Fairview Rd, Charlotte, NC 28210-3256 2012-09-18
1700142551 Jad Jabbour Otolaryngology 6035 Fairview Rd, Charlotte, NC 28210 2012-04-05
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City CHARLOTTE
Zip Code 28277

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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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