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: July 19, 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.

Emergency Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Practitioner (Family)
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Occupational Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Orthopaedic Surgery
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Emergency Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Practitioner (Family)
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124277009, enumerated as an "organization" on September 16, 2008.

The provider is located at 707 S UNIVERSITY AVE BEAVER DAM, WI 53916 and the phone number is (920) 887-6383.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.