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PUEBLO EAR NOSE & THROAT SPECIALIST
NPI 1306175484
Otolaryngology in Pueblo, CO

Active since December 18, 2009
1218 PUEBLO BLVD WAY, PUEBLO, CO 81005(719) 566-1277(719) 566-1257 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pueblo Ear Nose & Throat Specialist NPPES

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

PUEBLO EAR NOSE & THROAT SPECIALIST (NPI 1306175484) is a healthcare organization registered as an otolaryngology in Pueblo, Colorado and active in the NPI registry since December 2009. The organization lists Charlene Hickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1306175484
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePUEBLO EAR NOSE & THROAT SPECIALIST
Location Address1218 PUEBLO BLVD WAYPueblo, CO 81005-1507
Mailing Address1218 Pueblo Blvd WayPueblo, CO 81005-1507 · (719) 566-1277 · Fax (719) 566-1257
Phone(719) 566-1277
Fax(719) 566-1257
Organization SubpartNo
Authorized OfficialCharlene HicksonOwner · (719) 566-1277
Enumeration DateDecember 18, 2009
Last NPPES UpdateApril 16, 2013
✔ NPI 1306175484 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.
1218 PUEBLO BLVD WAY, Pueblo, CO 81005
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Other Identifiers 2

Medicare PINCOA100059CO
Medicaid74482581CO

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 Pueblo Ear Nose & Throat Specialist's NPI number?

The NPI number for Pueblo Ear Nose & Throat Specialist is 1306175484. It was assigned to this organization in the NPPES registry on December 18, 2009.

Where is Pueblo Ear Nose & Throat Specialist located?

Pueblo Ear Nose & Throat Specialist is located at 1218 Pueblo Blvd Way, Pueblo, CO 81005. The listed phone number is (719) 566-1277.

What is Pueblo Ear Nose & Throat Specialist'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 Pueblo Ear Nose & Throat Specialist was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.