LAKE NORMAN EARS NOSE AND THROAT PA
NPI 1306870902
Otolaryngology in Mooresville, NC

Active since July 10, 2006
140 GATEWAY BLVD, MOORESVILLE, NC 28117(704) 664-9638(704) 664-1859 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Norman Ears Nose And Throat Pa NPPES

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

LAKE NORMAN EARS NOSE AND THROAT PA (NPI 1306870902) is a healthcare organization registered as an otolaryngology in Mooresville, North Carolina and active in the NPI registry since July 2006. The organization lists Herbert Lee Wettreich, Md, as its authorized official.

NPPES Registry Identity

NPI1306870902
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLAKE NORMAN EARS NOSE AND THROAT PA
Location Address140 GATEWAY BLVDMooresville, NC 28117
Mailing Address140 Gateway BlvdMooresville, NC 28117 · (704) 664-9638 · Fax (704) 664-1859
Fax(704) 664-1859
Organization SubpartNo
Authorized OfficialHerbert Lee WettreichMd · (704) 664-9368
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 9, 2009
NPI 1306870902 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.

140 GATEWAY BLVD, Mooresville, NC 28117

Other Identifiers 5

Medicaid8986676NC
Medicaid5912716NC
Medicare PIN2342809NC
Other1781857NC · United Healthcare
Other0270KNC · Bcbs

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Otolaryngology
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Nurse Practitioner (Adult Health)
140 GATEWAY BLVD
MOORESVILLE, NC 28117
Audiologist
140 GATEWAY BLVD
MOORESVILLE, NC 28117

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 Lake Norman Ears Nose And Throat PA's NPI number?

The NPI number for Lake Norman Ears Nose And Throat PA is 1306870902. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Lake Norman Ears Nose And Throat PA located?

Lake Norman Ears Nose And Throat PA is located at 140 Gateway Blvd, Mooresville, NC 28117. The listed phone number is (704) 664-9638.

What is Lake Norman Ears Nose And 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 Lake Norman Ears Nose And Throat PA was last updated on December 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.