ENT SPECIALISTS, INC (NPI# 1548319809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548319809 |
| Entity Type | Organization |
| Organization Name | ENT SPECIALISTS, INC |
| Practice Address |
35 Pearl St Ste 100 Brockton MA 02301-1195 |
| Practice Telephone | 5085888034 |
| Practice Fax Number | 5085885969 |
| Mailing Telephone | 5085888034 |
| Mailing Fax Number | 5085885969 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | RUSSELL S SHU (PRESIDENT) |
| Authorized Official Telephone | 5085888034 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS OF MA -GRP ID# | M10815 | 01 |
| MA | 9700226 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 188 Washington St, Plainville, MA 027621301 | 5086991701 | 5086991706 |
| 825 Washington St Ste 310, Norwood, MA 020623481 | 7817698910 | 7812559844 |
| 72 Washington St Ste 1600, Taunton, MA 027802430 | 5088803460 | 5088805335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849387 | Ent Specialists, Inc | Physical Therapist | 188 Washington St Ste 3, Plainville, MA 02762-1320 | 2019-09-07 |
| Street Address |
35 PEARL ST STE 100 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652832 | Pratik S Pradhan | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-05-01 |
| 1699175307 | Diana Russell Murphy | Audiologist | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2014-08-29 |
| 1639583016 | David S. Robinson | Audiologist | 35 Pearl St Ste 100, Brockton, MA 02301 | 2014-06-13 |
| 1326305905 | Kimberly Russell | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2012-04-19 |
| 1225219173 | Walid Ibrahim Dagher | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2007-11-20 |
| 1972518264 | Seema V Byahatti | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-29 |
| 1134134422 | Russell S Shu | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2006-07-29 |
| 1275557738 | Jagdish K Dhingra | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-27 |
| 1093731887 | H Dennis Snyder | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-14 |
| 1245298629 | Douglas A O'brien | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1881652832 | Pratik S Pradhan | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-05-01 |
| 1326305905 | Kimberly Russell | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2012-04-19 |
| 1225219173 | Walid Ibrahim Dagher | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2007-11-20 |
| 1972518264 | Seema V Byahatti | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-29 |
| 1134134422 | Russell S Shu | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2006-07-29 |
| 1275557738 | Jagdish K Dhingra | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-27 |
| 1093731887 | H Dennis Snyder | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-07-14 |
| 1245298629 | Douglas A O'brien | Otolaryngology | 35 Pearl St Ste 100, Brockton, MA 02301-1195 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1861734949 | Bridget Driscoll Burgess | Otolaryngology | 825 Main St Fl 1, Weymouth, MA 02190-1659 | 2013-03-26 |
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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.