RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC (NPI# 1891923165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891923165 |
| Entity Type | Organization |
| Organization Name | RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC |
| Practice Address |
1505 Sw Cary Pkwy Suite 301 Cary NC 27511-6219 |
| Mailing Address |
Po Box 18946 Raleigh NC 27619-8946 |
| Practice Telephone | 9193679774 |
| Practice Fax Number | 9194202028 |
| Mailing Telephone | 9197877171 |
| Mailing Fax Number | 9194202028 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | JOANNE P DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 9194202027 |
| 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 |
|---|---|---|---|
| NC | 89015XH | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255569521 | Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc | Otolaryngology | 10208 Cerny St, Suite 300, Raleigh, NC 27617-7884 | 2009-06-25 |
| Street Address |
1505 SW CARY PKWY SUITE 301 |
| City | CARY |
| State | NC |
| Zip Code | 27511-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236124 | Kenneth R Hauswald | Surgery | 1505 Sw Cary Pkwy, Suite 302, Cary, NC 27511-6219 | 2005-06-24 |
| 1437690708 | Hps Raliegh, LLC | Specialist | 1505 Sw Cary Pkwy, Suite 100, Cary, NC 27511-6219 | 2017-03-20 |
| 1891232575 | Alison Poe | Nurse Practitioner | 1505 Sw Cary Pkwy, Cary, NC 27511-6219 | 2017-01-19 |
| 1447632922 | Kathryn Miles Jackson | Audiologist | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2015-06-22 |
| 1790177756 | Kelly Goeckner | Dentist | 1505 Sw Cary Pkwy, Cary, NC 27511-6219 | 2015-02-28 |
| 1407248560 | Shin-yiing Yeung | Physical Therapist | 1505 Sw Cary Pkwy, Suite 304, Cary, NC 27511-6219 | 2015-02-26 |
| 1972879765 | Drew Scrimgeour | Physical Therapist | 1505 Sw Cary Pkwy, Ste 304, Cary, NC 27511-6219 | 2012-03-27 |
| 1568750594 | Elizabeth Dowd Maready | Dentist | 1505 Sw Cary Pkwy, Suite 207, Cary, NC 27511-6219 | 2011-07-12 |
| 1245523398 | Christina L Ankney | Registered Nurse | 1505 Sw Cary Pkwy, Suite 100, Cary, NC 27511-6219 | 2011-05-24 |
| 1548560600 | Rex Surgery Center of Cary LLC | Clinic/Center | 1505 Sw Cary Pkwy, Suite 100, Cary, NC 27511-6219 | 2010-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| 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 |
|---|---|---|---|---|
| 1982631768 | Samuel P Davis IIi | Otolaryngology | 601 Keisler Dr Ste 200, Cary, NC 27518-6567 | 2006-06-27 |
| 1720088255 | John Arthur Garside | Otolaryngology | 790 Se Cary Pkwy Ste 110, Cary, NC 27511-5678 | 2005-07-27 |
| 1194047340 | Wake Ear Nose and Throat Specialists Pllc | Otolaryngology | 600 New Waverly Pl, Ste. 201, Cary, NC 27518-7404 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
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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.