EAR NOSE AND THROAT ASSOCIATES PLLC
NPI 1023767274
Otolaryngology in Olympia, WA

Active since March 23, 2022
128 LILLY RD NE STE 202, OLYMPIA, WA 98506(360) 357-6314(360) 705-3745 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ear Nose And Throat Associates Pllc NPPES

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

EAR NOSE AND THROAT ASSOCIATES PLLC (NPI 1023767274) is a healthcare organization registered as an otolaryngology in Olympia, Washington and active in the NPI registry since March 2022. The organization lists Sung-won Kim, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1023767274
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE AND THROAT ASSOCIATES PLLC
Location Address128 LILLY RD NE STE 202Olympia, WA 98506-7400
Mailing Address128 Lilly Rd Ne Ste 202Olympia, WA 98506-7400 · (360) 357-6314 · Fax (360) 705-3745
Fax(360) 705-3745
Organization SubpartNo
Authorized OfficialSung-won KimManaging Partner · (202) 271-2929
Enumeration DateMarch 23, 2022
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1023767274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
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.
128 LILLY RD NE STE 202, Olympia, WA 98506

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear Nose And Throat Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ear Nose And Throat Associates PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Otolaryngology
NPI 1376839944
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1457472961
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1447914023
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1831363001
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ Accepts MedicareSame address
Otolaryngology
NPI 1972612695
128 LILLY RD NE SUITE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOSSame address
Otolaryngology
NPI 1558577627
128 LILLY RD NE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1790983757
10535 NE GLISAN ST STE 350
Portland, OR 97220
(503) 408-1323
✔ Accepts Medicare106 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 And Throat Associates PLLC's NPI number?

The NPI number for Ear Nose And Throat Associates PLLC is 1023767274. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Ear Nose And Throat Associates PLLC located?

Ear Nose And Throat Associates PLLC is located at 128 Lilly Rd NE Ste 202, Olympia, WA 98506. The listed phone number is (360) 357-6314.

What is Ear Nose And Throat Associates PLLC's specialty?

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

Is Ear Nose And Throat Associates PLLC enrolled in Medicare?

Yes. Ear Nose And Throat Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear Nose And Throat Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear Nose And Throat Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (4) and Qualified Audiologist (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ear Nose And Throat Associates PLLC was last updated on December 8, 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.