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SOUTH LAKE EARS NOSE & THROAT PA
NPI 1154695872
Otolaryngology in Huntersville, NC

Active since February 27, 2012
9710 SAM FURR RD UNIT D, HUNTERSVILLE, NC 28078(704) 896-1909(704) 896-1926 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Lake Ears Nose & Throat Pa NPPES

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

SOUTH LAKE EARS NOSE & THROAT PA (NPI 1154695872) is a healthcare organization registered as an otolaryngology in Huntersville, North Carolina and active in the NPI registry since February 2012. The organization lists Stan D Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1154695872
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTH LAKE EARS NOSE & THROAT PA
Location Address9710 SAM FURR RD UNIT DHuntersville, NC 28078-4928
Mailing Address9710 Sam Furr Rd Unit DHuntersville, NC 28078-4928 · (704) 896-1909 · Fax (704) 896-1926
Phone(704) 896-1909
Fax(704) 896-1926
Organization SubpartNo
Authorized OfficialStan D PhillipsOwner · (704) 896-1909
Enumeration DateFebruary 27, 2012
✔ NPI 1154695872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 9701107
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.
9710 SAM FURR RD UNIT D, Huntersville, NC 28078
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Other Identifiers 2

Medicare UPING70963NC
Medicaid891108ANC

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 2

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

DR. MICHAEL BRIAN SLATER AU. D.
Audiologist
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 896-1909
DR. MARGARET JEANNE KOESTER AU.D.
Audiologist
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078
Mecklenburg County (702) 896-1909

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 South Lake Ears Nose & Throat PA's NPI number?

The NPI number for South Lake Ears Nose & Throat PA is 1154695872. It was assigned to this organization in the NPPES registry on February 27, 2012.

Where is South Lake Ears Nose & Throat PA located?

South Lake Ears Nose & Throat PA is located at 9710 Sam Furr Rd Unit D, Huntersville, NC 28078. The listed phone number is (704) 896-1909.

What is South Lake Ears Nose & Throat PA'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 South Lake Ears Nose & Throat PA was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.