NORTHEAST ATLANTA EAR NOSE & THROAT, P.C. (NPI# 1194836254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194836254 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ATLANTA EAR NOSE & THROAT, P.C. |
| Practice Address |
766 Walther Road Suite 300 Lawrenceville GA 30046 |
| Mailing Address |
4385 Johns Creek Parkway Suite 250 Suwanee GA 30024 |
| Practice Telephone | 7702373000 |
| Practice Fax Number | 6789922536 |
| Mailing Telephone | 7706231608 |
| Mailing Fax Number | 6789922540 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | NINA M SMITH (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7709399614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 055001197A | 05 |
| Street Address |
766 WALTHER ROAD SUITE 300 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1285789032 | Atlanta Allergy & Otolaryngology Center, LLC | Otolaryngology | 1990 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2007-01-24 |
| 1750306734 | Chetan Shah | Otolaryngology | 3100 Princeton Pike Bldg 4, Lawrenceville, NJ 08648-2300 | 2006-07-12 |
| 1710984935 | Donald Gene Browning | Otolaryngology | 748 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-3393 | 2005-07-01 |
| 1871596213 | Ravi Gorav | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046-8765 | 2005-05-31 |
| 1902185945 | Princeton Eye & Ear LLC | Otolaryngology | 2999 Princeton Pike, Lawrenceville, NJ 08648-3261 | 2011-08-09 |
| 1871820852 | Matthew Carmichael | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046 | 2009-11-11 |
| 1760637243 | David G Dillard, Md, LLC | Otolaryngology | 771 Old Norcross Rd, Suite 140, Lawrenceville, GA 30045-4317 | 2008-11-25 |
| 1356507115 | Ajaz L Chaudhry | Otolaryngology | 766 Walther Rd, Suite 300, Lawrenceville, GA 30046-8764 | 2008-07-31 |
| 1871601229 | Mukund C Raja | Otolaryngology | 475 Philip Blvd, Suite 201, Lawrenceville, GA 30046-8737 | 2006-08-27 |
| 1548205545 | James Aloysius Boozan | Otolaryngology | 3131 Princeton Pike, Building 5 Suite 100, Lawrenceville, NJ 08648-2201 | 2006-06-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on NORTHEAST ATLANTA EAR NOSE & THROAT, P.C..
| 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.