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ENTLC, PSC
NPI 1124217765
Otolaryngology in Maysville, KY

Active since October 19, 2007
491 TUCKER DR, MAYSVILLE, KY 41056(606) 759-4852(606) 759-0112 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Entlc, Psc NPPES

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

ENTLC, PSC (NPI 1124217765) is a healthcare organization registered as an otolaryngology in Maysville, Kentucky and active in the NPI registry since October 2007. The organization lists Paul A Conrad, President, as its authorized official.

NPPES Registry Identity

NPI1124217765
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameENTLC, PSC
Location Address491 TUCKER DRMaysville, KY 41056-9111
Mailing Address491 Tucker DriveMaysville, KY 41056-9111 · (606) 759-4852 · Fax (606) 759-0112
Phone(606) 759-4852
Fax(606) 759-0112
Organization SubpartNo
Authorized OfficialPaul A ConradPresident · (606) 759-4852
Enumeration DateOctober 19, 2007
Last NPPES UpdateJune 13, 2013
✔ NPI 1124217765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 35183
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.

Also ListedAudiologistTaxonomy 231H00000X · License 0478 (KY)
Also ListedHearing Instrument SpecialistTaxonomy 237700000X · License 0946 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6223P (KY)
491 TUCKER DR, Maysville, KY 41056
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Other Identifiers 1

Medicare PIN9148KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 5

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

AEGIS THERAPIES, INC.
Occupational Therapy Assistant
491 TUCKER DR
MAYSVILLE, KY 41056
Mason County (606) 759-4005
MCKENZIE ARNETT
Physical Therapist
491 TUCKER DR
MAYSVILLE, KY 41056
Mason County (606) 759-4005
MRS. BETHANY WILLIAMS APRN
Nurse Practitioner (Family)
491 TUCKER DR
MAYSVILLE, KY 41056
Mason County (606) 759-4852
CAITLYN TUCKER GALLENSTEIN
Speech-Language Pathologist
491 TUCKER DR
MAYSVILLE, KY 41056
Mason County (606) 759-4005
AEGIS THERAPIES, INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
491 TUCKER DR
MAYSVILLE, KY 41056
Mason County (606) 759-4005

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 Entlc, Psc's NPI number?

The NPI number for Entlc, Psc is 1124217765. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Entlc, Psc located?

Entlc, Psc is located at 491 Tucker Dr, Maysville, KY 41056. The listed phone number is (606) 759-4852.

What is Entlc, Psc's specialty?

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

What insurance does Entlc, Psc accept?

Health plans from CareSource list Entlc, Psc 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 Entlc, Psc was last updated on June 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.