ENT SURGICAL ASSOCIATES PC (NPI# 1598747768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598747768 |
| Entity Type | Organization |
| Organization Name | ENT SURGICAL ASSOCIATES PC |
| Practice Address |
2376 North 400 East Suite 202 Tooele UT 84074 |
| Practice Telephone | 4358339600 |
| Mailing Telephone | 4358339600 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | PETER VENTURA (PRESIDENT) |
| Authorized Official Telephone | 4358339600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 58686931205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 529861509001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924229 | Ent Surgical Associates PC | Otolaryngology | 2376 N 400 E, 202, Tooele, UT 84074-9838 | 2008-02-26 |
| Street Address |
2376 NORTH 400 EAST SUITE 202 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477588044 | Clearvue Inc | Ophthalmology | 2376 North 400 East, Building A Suite 101, Tooele, UT 84074-9335 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| 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 |
|---|---|---|---|---|
| 1780844431 | Jesse Knight | Otolaryngology | 2376 N 400 E Ste 202, Tooele, UT 84074-3413 | 2008-06-16 |
| 1497924229 | Ent Surgical Associates PC | Otolaryngology | 2376 N 400 E, 202, Tooele, UT 84074-9838 | 2008-02-26 |
| 1144201690 | Peter Gibbs Ventura | Otolaryngology | 2376 N 400 E, Ste 202, Tooele, UT 84074-3413 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073177796 | Christopher A. Hamilton | Otolaryngology | 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2019-04-29 |
| 1972007433 | Eric Edward Babajanian | Otolaryngology | 50 N Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2018-03-20 |
| 1619362779 | Joshua Brian Bradshaw | Otolaryngology | 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | 2015-04-05 |
| 1548695729 | Derrick Cripps Gale | Otolaryngology | 4063 W 12600 S, Riverton, UT 84096-7302 | 2013-09-06 |
| 1063853885 | Craig N Stevens, Md | Otolaryngology | 2576 E Valley View Ave, Holladay, UT 84117-5429 | 2013-07-09 |
| 1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
| 1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
| 1447551544 | James L. Parkin | Otolaryngology | 2390 Bernadine Dr, Salt Lake City, UT 84109-1206 | 2010-11-05 |
| 1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
| 1710210323 | Kendrick Oliver Morrison | Otolaryngology | 1599 Quartz Dr, South Jordan, UT 84095-8382 | 2009-09-14 |
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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.