CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA (NPI# 1922405844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922405844 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA |
| Practice Address |
1 Medical Park Dr Suite 1b Chester SC 29706-9769 |
| Mailing Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 8033855515 |
| Practice Fax Number | 8033778301 |
| Mailing Telephone | 7042953000 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | DR. JAG S GILL (CEO) |
| Authorized Official Telephone | 7042953000 |
| Authorized Official Credential | SCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1710271507 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 2614 E 7th St, Charlotte, NC 28204-4375 | 2011-06-09 |
| 1982899035 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1223 Spruce St, Belmont, NC 28012-3371 | 2007-09-12 |
| 1346435922 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 33 Lake Concord Rd Ne, Concord, NC 28025-3015 | 2007-09-07 |
| 1750788675 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1698 Highway 160 W, Suite 240, Fort Mill, SC 29708-8032 | 2014-11-20 |
| 1659778579 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 838 W Meeting St, Suite C, Lancaster, SC 29720-6233 | 2014-11-20 |
| 1770994352 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1908 Hilco St, Suite A, Albemarle, NC 28001-6388 | 2014-05-16 |
| 1801217948 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2013-12-16 |
| 1386077709 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 315 Mocksville Ave, Salisbury, NC 28144-3327 | 2013-08-21 |
| Street Address |
1 MEDICAL PARK DR SUITE 1B |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-9769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353532 | David Emerson Cowan | Urology | 1 Medical Park Dr, Medical Bldg #3, Chester, SC 29706-9769 | 2005-08-17 |
| 1760028476 | Karen Carole Parker Williams | Physical Therapist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-11-18 |
| 1316410822 | Medical University Hospital Authority | Skilled Nursing Facility | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-01-07 |
| 1437622933 | Medical University Hospital Authority | General Acute Care Hospital | 1 Medical Park Dr, Chester, SC 29706-9769 | 2019-01-07 |
| 1962993683 | Wendy Aragon Hall | Specialist/Technologist, Other | 1 Medical Park Dr, Chester, SC 29706-9769 | 2018-05-29 |
| 1316479314 | James Holler IIi | Physician Assistant | 1 Medical Park Dr, Chester, SC 29706-9769 | 2017-03-29 |
| 1710424239 | Erin Corl | Speech-Language Pathologist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2017-01-22 |
| 1346795614 | Kaitlin Ford | Speech-Language Pathologist | 1 Medical Park Dr, Chester, SC 29706-9769 | 2016-08-16 |
| 1669844361 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1 Medical Park Dr, Bldg 3 Ste B, Chester, SC 29706-9769 | 2015-10-21 |
| 1891166831 | Miranda Prisland | Dietitian, Registered | 1 Medical Park Dr, Chester, SC 29706-9769 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| 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 |
|---|---|---|---|---|
| 1780765446 | Steven W. Fischer | Otolaryngology | 2112 Providence Ave, Chester, PA 19013 | 2006-10-18 |
| 1770664419 | Kenneth B. Briskin | Otolaryngology | 2112 Providence Avenue, Chester, PA 19013 | 2006-10-18 |
| 1326280009 | Mark A. Ginsburg | Otolaryngology | 2112 Providence Ave, Chester, PA 19013-5507 | 2009-03-27 |
| 1770664351 | William S Gartner Jr. | Otolaryngology | 2112 Providence Ave, Chester, PA 19013-5507 | 2006-10-18 |
| 1396826061 | John M Feehery | Otolaryngology | 2112 Providence Ave, Chester, PA 19013 | 2006-10-18 |
| 1366523904 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | 2112 Providence Ave, Chester, PA 19013-5507 | 2006-10-18 |
| 1205917820 | Joel R Perloff | Otolaryngology | 2112 Providence Ave, Chester, PA 19013-5507 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316764 | Carolina Pines Ear Nose Throat & Allergy Associates LLC | Otolaryngology | 2032 Medical Park Dr, Newberry, SC 29108-2248 | 2020-08-13 |
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1427377076 | Sarah Jane Novis | Otolaryngology | 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 | 2010-05-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1285825240 | Daniel Mcqueen Ervin | Otolaryngology | 1523 B Heritage Lane, Florence, SC 29505-3197 | 2007-08-06 |
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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.