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NPI Code Detail

MEDICARE: EAR NOSE AND THROAT ASSOCIATES OF CENTRAL PA PC

MEDICARE: EAR NOSE AND THROAT ASSOCIATES OF CENTRAL PA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH1449OTHERPAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2838363OTHERPABLUE SHIELD GROUP ASSIGNM

General Provider Information

NPI Number : 1053345397
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAR NOSE AND THROAT ASSOCIATES OF CENTRAL PA PC
Provider Business Mailing Address
First Line : 3341 BEALE AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-1549
Country : US
Telephone Number : 814-944-5357
Fax Number : 814-946-8017
Provider Business Practice Location Address
First Line : 3341 BEALE AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-1549
Country : US
Telephone Number : 814-944-5357
Fax Number : 814-946-8017
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD CHARLES HOWELLS II
Credential : MD
Telephone Number : 814-944-5357
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/26/2016

Similar Medicare Providers

1104822063 — DAVID EARL HIGGINS M.D.
Practice Location Address:
3341 BEALE AVE
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16601-1549
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Practice Fax: 814-946-8017
1720085814 — RICHARD CHARLES HOWELLS II M.D.
Practice Location Address:
3341 BEALE AVE
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1477530756 — KARA E. KIMBERLY MD
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3341 BEALE AVE
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Practice Fax:
1851409411 — DR. AMY E NEDOSTUP AUD
Practice Location Address:
3341 BEALE AVE
ALTOONA, PA
16601-1549
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1265503197 — ROBERT JASON CAUGHEY MD
Practice Location Address:
3341 BEALE AVE
ALTOONA, PA
16601-1549
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Practice Fax: 814-946-8017
1457622466 — MS. BEVERLY ANN HUFF MA
Practice Location Address:
3341 BEALE AVE
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16601-1549
Practice Phone: 814-944-5357
Practice Fax: 814-946-8017

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