SOUTHSIDE EAR, NOSE & THROAT
NPI 1194803338
Otolaryngology in Colonial Heights, VA

Active since November 02, 2006
930 SOUTH AVE., SUITE 4B, COLONIAL HEIGHTS, VA 23834(804) 504-0530(804) 504-0532 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Ear, Nose & Throat NPPES

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

SOUTHSIDE EAR, NOSE & THROAT (NPI 1194803338) is a healthcare organization registered as an otolaryngology in Colonial Heights, Virginia and active in the NPI registry since November 2006. The organization lists David Cangcuesta, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1194803338
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHSIDE HEAD N NECK SURGERY PROFESSIONAL CORP
Location Address930 SOUTH AVE., SUITE 4BColonial Heights, VA 23834
Mailing Address930 South Ave., Suite 4bColonial Heights, VA 23834 · (804) 504-0530 · Fax (804) 504-0532
Fax(804) 504-0532
Organization SubpartNo
Authorized OfficialDavid CangcuestaPhysician/owner · (804) 337-1110
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 1, 2014
NPI 1194803338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in VA · 0101036702
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.
930 SOUTH AVE., Colonial Heights, VA 23834

Other Names 1

Doing Business AsSouthside Ear, Nose & Throat

Other Identifiers 7

Other040009007VA · Medicare Railroad
Medicare PINC03320
OtherP00002082VA · Medicare Railroad
Medicare PINC03321
OtherP00002088VA · Medicare Railroad
Other006555055VA · Medicare Railroad
Medicare PINC03320VA

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

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 Southside Head N Neck Surgery Professional Corp's NPI number?

The NPI number for Southside Head N Neck Surgery Professional Corp is 1194803338. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Southside Ear, Nose & Throat.

Where is Southside Head N Neck Surgery Professional Corp located?

Southside Head N Neck Surgery Professional Corp is located at 930 South Ave. Suite 4B, Colonial Heights, VA 23834. The listed phone number is (804) 504-0530.

What is Southside Head N Neck Surgery Professional Corp'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 Southside Head N Neck Surgery Professional Corp was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.