Healthcare Provider Details
I. General information
NPI: 1942489042
Provider Name (Legal Business Name): BILTMORE EAR NOSE AND THROAT, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2007
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4400 N 32ND ST SUITE 220
PHOENIX AZ
85018-3953
US
IV. Provider business mailing address
1010 E MCDOWELL RD STE 206
PHOENIX AZ
85006-2608
US
V. Phone/Fax
- Phone: 602-956-1250
- Fax: 602-956-7466
- Phone: 602-956-1250
- Fax: 602-956-7466
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 16326 |
| License Number State | AZ |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 16326 |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
JEFFREY
M
TAFFET
Title or Position: OWNER
Credential: MD
Phone: 602-956-1250