SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC (NPI# 1881019537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881019537 |
| Entity Type | Organization |
| Organization Name | SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC |
| Practice Address |
2126 W Roy Parker Rd Ste 207 Ozark AL 36360-8566 |
| Practice Telephone | 3344430335 |
| Mailing Telephone | 3344430335 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | DR. TARIK Y FARRAG (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 4438546019 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD.32237 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 820 W Washington St, Eufaula, AL 360271822 | 3344430335 |
| Street Address |
2126 W ROY PARKER RD STE 207 |
| City | OZARK |
| State | AL |
| Zip Code | 36360-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523044 | Core Ent. LLC | Otolaryngology | 215 South 5th Street, Gadsden, AL 35901-4217 | 2012-10-23 |
| 1710241054 | Ryan Gegg | Otolaryngology | 112 Haven Dr Ste 1, Dothan, AL 36301-2908 | 2012-07-02 |
| 1528075447 | Southeast Alabama Ent Head & Neck | Otolaryngology | 1118 Rose Clark Circle, Ste 210, Dothan, AL 36301 | 2006-08-02 |
| 1811913544 | Kurt W Kantzler | Otolaryngology | 215 S 5th St, Gadsden, AL 35901-4217 | 2006-07-14 |
| 1538195961 | Blane Edward Bateman | Otolaryngology | 901 Leighton Avenue, Suite 506, Anniston, AL 36207 | 2006-06-25 |
| 1497794945 | Marcus Moody | Otolaryngology | 2116 Data Park, Hoover, AL 35244-1203 | 2006-06-06 |
| 1063467447 | John H Rand | Otolaryngology | 80 Herren Hill Road, Ste D, Tallassee, AL 36078 | 2006-05-23 |
| 1477507408 | Mark L Hagood | Otolaryngology | 201 Whitesport Dr Sw, Huntsville, AL 35801-6449 | 2006-05-22 |
| 1316924798 | Salem K David Jr. | Otolaryngology | 1224 Mcfarland Blvd Ne, Suite A, Tuscaloosa, AL 35406-2287 | 2005-12-28 |
| 1528064201 | Keith A Kowal | Otolaryngology | 20308 Beecher St, Fairhope, AL 36532-3692 | 2005-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC.
| 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.