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EAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC
NPI 1124214036
Clinic/Center in Elizabeth City, NC

Active since September 25, 2007
105 MEDICAL DR, ELIZABETH CITY, NC 27909(252) 337-7409(252) 337-7410 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ear,nose&throat Head,neck&sinus Surgery,pc NPPES

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

EAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC (NPI 1124214036) is a healthcare organization registered as a clinic/center in Elizabeth City, North Carolina and active in the NPI registry since September 2007. The organization lists Anthony W Jackson, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1124214036
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC
Location Address105 MEDICAL DRElizabeth City, NC 27909-3361
Mailing Address105 Medical DrElizabeth City, NC 27909-3361 · (252) 337-7409 · Fax (252) 337-7410
Phone(252) 337-7409
Fax(252) 337-7410
Organization SubpartNo
Authorized OfficialAnthony W JacksonPresident Of Corporation · (252) 337-7409
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 20, 2008
✔ NPI 1124214036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
105 MEDICAL DR, Elizabeth City, NC 27909
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Other Providers at the Same Location NPPES 3

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

CAROLINA SURGICAL CARE ASSOCIATES, P. A.
Specialist
105 MEDICAL DR
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-4890
JK2C, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
105 MEDICAL DR
ELIZABETH CITY, NC 27909
Pasquotank County (757) 848-3478
ANTHONY W JACKSON SR. MD
Otolaryngology
105 MEDICAL DR
ELIZABETH CITY, NC 27909
Pasquotank County (252) 337-7409

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 Head,neck&sinus Surgery,pc's NPI number?

The NPI number for Ear,nose&throat Head,neck&sinus Surgery,pc is 1124214036. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Ear,nose&throat Head,neck&sinus Surgery,pc located?

Ear,nose&throat Head,neck&sinus Surgery,pc is located at 105 Medical Dr, Elizabeth City, NC 27909. The listed phone number is (252) 337-7409.

What is Ear,nose&throat Head,neck&sinus Surgery,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ear,nose&throat Head,neck&sinus Surgery,pc was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.