BEAVER DAM ENT LLC
NPI 1124277009
Otolaryngology in Beaver Dam, WI

Active since September 16, 2008
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-6383 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaver Dam Ent Llc NPPES

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

BEAVER DAM ENT LLC (NPI 1124277009) is a healthcare organization registered as an otolaryngology in Beaver Dam, Wisconsin and active in the NPI registry since September 2008. The organization lists K Scott Abrams, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124277009
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameBEAVER DAM ENT LLC
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address707 S University AveBeaver Dam, WI 53916-3027 · (920) 887-6383
Organization SubpartNo
Authorized OfficialK Scott AbramsCfo · (920) 887-4041
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJanuary 23, 2009
NPI 1124277009 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.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916

Other Identifiers 2

Medicare PINWI1052WI
Medicare PINWI1052001WI

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 SINGLE SPECIALTY GROUP

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.

General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

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 Beaver Dam Ent LLC's NPI number?

The NPI number for Beaver Dam Ent LLC is 1124277009. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Beaver Dam Ent LLC located?

Beaver Dam Ent LLC is located at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-6383.

What is Beaver Dam Ent LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Beaver Dam Ent LLC was last updated on January 23, 2009. 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.