ENT SPECIALISTS OF ORANGE COUNTY, INC. (NPI# 1538678867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538678867 |
| Entity Type | Organization |
| Organization Name | ENT SPECIALISTS OF ORANGE COUNTY, INC. |
| Practice Address |
446 Old Newport Blvd Ste 200 Newport Beach CA 92663-4246 |
| Practice Telephone | (949) 423-3000 |
| Practice Fax Number | 9496312030 |
| Mailing Telephone | 9494233000 |
| Mailing Fax Number | 9496312030 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | JACK SHOHET (PRESIDENT) |
| Authorized Official Telephone | 9496314327 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
446 OLD NEWPORT BLVD STE 200 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1063778363 | Carly Jiganti Schrage | Otolaryngology | 446 Old Newport Blvd, Ste 100, Newport Beach, CA 92663-4246 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
| 1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
| 1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
| 1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
| 1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
| 1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.