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EAR NOSE & THROAT CLINIC INC.
NPI 1023179587
Otolaryngology in Fairbanks, AK

Active since December 12, 2006
1919 LATHROP ST, SUITE 103, FAIRBANKS, AK 99701(907) 456-7768(907) 456-4045 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, Jan 22, 2016 (2 updates tracked since 2016).

About Ear Nose & Throat Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAR NOSE & THROAT CLINIC INC. (NPI 1023179587) is a healthcare organization registered as an otolaryngology in Fairbanks, Alaska and active in the NPI registry since December 2006. The organization lists Sam Y Kim, President, as its authorized official.

NPPES Registry Identity

NPI1023179587
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE & THROAT CLINIC INC.
Location Address1919 LATHROP ST, SUITE 103Fairbanks, AK 99701-5937
Mailing Address1919 Lathrop St., Suite 103Fairbanks, AK 99701-5937 · (907) 456-7768 · Fax (907) 456-4045
Phone(907) 456-7768
Fax(907) 456-4045
Organization SubpartNo
Authorized OfficialSam Y KimPresident · (907) 456-7768
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1023179587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in AK · 83561
Definition
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.
1919 LATHROP ST, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1020915AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
STEFAN LEO-NYQUIST DO
Family Medicine
1919 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2619
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401
MS. SHERI D SCHOENBERG PT
Physical Therapist
1919 LATHROP ST, STE 123, MEDICAL AND DENTAL ARTS BUILDING
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 445-4401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ear Nose & Throat Clinic Inc.'s NPI number?

The NPI number for Ear Nose & Throat Clinic Inc. is 1023179587. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Ear Nose & Throat Clinic Inc. located?

Ear Nose & Throat Clinic Inc. is located at 1919 Lathrop St Suite 103, Fairbanks, AK 99701. The listed phone number is (907) 456-7768.

What is Ear Nose & Throat Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Ear Nose & Throat Clinic Inc. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ear Nose & Throat Clinic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ear Nose & Throat Clinic Inc. was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.