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: July 26, 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
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

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.

Specialist
105 MEDICAL DR
ELIZABETH CITY, NC 27909
Clinic/Center (Rehabilitation, Substance Use Disorder)
105 MEDICAL DR
ELIZABETH CITY, NC 27909
Otolaryngology
105 MEDICAL DR
ELIZABETH CITY, NC 27909

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 with the weekly NPPES data releases published by CMS.