PREMIER EAR, NOSE AND THROAT SURGEONS, LTD (NPI# 1265651947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265651947 |
| Entity Type | Organization |
| Organization Name | PREMIER EAR, NOSE AND THROAT SURGEONS, LTD |
| Other Organization Name | VALLEY EAR, NOSE AND THROAT SURGEONS |
| Practice Address |
9250 N 3rd St Ste. 3025 Phoenix AZ 85020-2412 |
| Practice Telephone | 6026785001 |
| Practice Fax Number | 6026784787 |
| Mailing Telephone | 6026785001 |
| Mailing Fax Number | 6026784787 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | DR. KEVIN EDWARD KELLY (PRESIDENT) |
| Authorized Official Telephone | 6026785001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 364935 | 05 | |
| AZ | 755879 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Ear, Nose and Throat Surgeons | Former Legal Business Name - Organization |
| Street Address |
9250 N 3RD ST STE. 3025 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779074 | Ronald J Hauptman | Specialist | 9250 N 3rd St, #2015, Phoenix, AZ 85020-2437 | 2005-06-13 |
| 1821539156 | Mussman, Pllc | Plastic Surgery | 9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2437 | 2017-03-20 |
| 1437691763 | Advanced Reconstructive Surgical Associates | Plastic Surgery | 9250 N 3rd St, #1003, Phoenix, AZ 85020-2437 | 2016-11-17 |
| 1376905356 | Kristen Salmi | Physician Assistant | 9250 N 3rd St, Ste 4000, Phoenix, AZ 85020-2437 | 2016-03-28 |
| 1518329218 | Jodi Leigh Newman | Nurse Practitioner | 9250 N 3rd St, Suite 4010, Phoenix, AZ 85020-2437 | 2016-03-22 |
| 1235519760 | Lori Schroder | Nurse Practitioner | 9250 N 3rd St, Phoenix, AZ 85020-2437 | 2015-05-29 |
| 1851779342 | Ying Li | Nurse Practitioner | 9250 N 3rd St, 3025, Phoenix, AZ 85020-2437 | 2015-05-15 |
| 1700289576 | Sadie Faye Muller | Physician Assistant | 9250 N 3rd St, Suite 4010, Phoenix, AZ 85020-2437 | 2014-10-07 |
| 1467879072 | Julie Beaumont | Physician Assistant | 9250 N 3rd St, Suite 4000, Phoenix, AZ 85020-2437 | 2014-03-20 |
| 1639516040 | Integrated Medical Services Inc | Psychiatry & Neurology | 9250 N 3rd St, 2007, Phoenix, AZ 85020-2437 | 2013-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| 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 |
|---|---|---|---|---|
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1770727323 | John Tyler French | Otolaryngology | 1010 E Mcdowell Rd Ste 200, Phoenix, AZ 85006-2608 | 2009-04-27 |
| 1366619405 | Max Lindbergh Wertz | Otolaryngology | 1516 E Hamblin Dr, Phoenix, AZ 85050 | 2008-05-08 |
| 1790971307 | Arizona Sinus and Ent Associates PC | Otolaryngology | 1515 N 9th Street B, Phoenix, AZ 85006-2523 | 2007-09-18 |
| 1912113085 | Joseph Ahlstrom Chiara | Otolaryngology | 3806 East Bell Road, Suite 5800, Phoenix, AZ 85032-2160 | 2007-05-15 |
| 1902018831 | James Chuang PC | Otolaryngology | 5110 E Warner Rd Ste 210, Phoenix, AZ 85044 | 2007-05-04 |
| 1861561011 | Jose L Robledo | Otolaryngology | 15835 S 46th St, Suite 132, Phoenix, AZ 85048-0446 | 2006-11-06 |
| 1043238744 | Charles R Orozco | Otolaryngology | 4250 E Camelback, Suite K-250, Phoenix, AZ 85018-8301 | 2006-07-18 |
| 1447293659 | Su Cherl Lee | Otolaryngology | 3827 Blenheim Rd, Phoenix, MD 21131-2101 | 2006-06-14 |
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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.