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GENESIS ENT & PLASTIC SURGERY, PLLC
NPI 1366484958
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Charlotte, NC

Active since June 11, 2006
14835 JOHN J DELANEY DR, SUITE 210, CHARLOTTE, NC 28277(704) 544-1300(704) 544-2765 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Ent & Plastic Surgery, Pllc NPPES

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

GENESIS ENT & PLASTIC SURGERY, PLLC (NPI 1366484958) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization lists Henry Ford, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366484958
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameGENESIS ENT & PLASTIC SURGERY, PLLC
Location Address14835 JOHN J DELANEY DR, SUITE 210Charlotte, NC 28277-2738
Mailing Address14835 John J Delaney Dr, Suite 210Charlotte, NC 28277-2738 · (704) 544-1300 · Fax (704) 544-2765
Phone(704) 544-1300
Fax(704) 544-2765
Organization SubpartNo
Authorized OfficialHenry FordAdministrator · (704) 544-1300
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366484958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NC · 9700531
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
14835 JOHN J DELANEY DR, Charlotte, NC 28277
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Other Identifiers 1

Medicaid191722NC

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 Genesis Ent & Plastic Surgery, PLLC's NPI number?

The NPI number for Genesis Ent & Plastic Surgery, PLLC is 1366484958. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Genesis Ent & Plastic Surgery, PLLC located?

Genesis Ent & Plastic Surgery, PLLC is located at 14835 John J Delaney Dr Suite 210, Charlotte, NC 28277. The listed phone number is (704) 544-1300.

What is Genesis Ent & Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Genesis Ent & Plastic Surgery, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.