1. Home
  2. Directory
  3. Washington
  4. Olympia
  5. Otolaryngology
  6. NPI Profile

EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS
NPI 1376306852
Otolaryngology in Olympia, WA

Active since February 06, 2024
128 LILLY RD NE STE 202, OLYMPIA, WA 98506(360) 357-6314(360) 705-3745 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ear Nose And Throat Associates Southwest Inc Ps NPPES

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

EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS (NPI 1376306852) is a healthcare organization registered as an otolaryngology in Olympia, Washington and active in the NPI registry since February 2024. The organization lists Sung-won Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376306852
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS
Location Address128 LILLY RD NE STE 202Olympia, WA 98506-7400
Mailing Address128 Lilly Rd Ne Ste 202Olympia, WA 98506-7400 · (360) 357-6314 · Fax (360) 705-3745
Phone(360) 357-6314
Fax(360) 705-3745
Organization SubpartYes
Authorized OfficialSung-won KimCeo · (360) 357-6314
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1376306852 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.
128 LILLY RD NE STE 202, Olympia, WA 98506
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear Nose And Throat Associates Southwest Inc Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ear Nose And Throat Associates Southwest Inc Ps, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Matthew Jung, M.D.
Otolaryngology
NPI 1376839944
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Nathan Sautter, MD
Otolaryngology
NPI 1457472961
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Madison Turner-Cole, AUD
Qualified Audiologist
NPI 1447914023
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ Accepts MedicareSame address
Cheri Wolfe Haas
Qualified Audiologist
NPI 1831363001
128 LILLY RD NE STE 202
Olympia, WA 98506
(360) 357-6314
✔ Accepts MedicareSame address
Sung-Won Kim, M.D.
Otolaryngology
NPI 1558577627
128 LILLY RD NE 202
Olympia, WA 98506
(360) 357-6314
✔ PECOS✔ Accepts MedicareSame address
Susan Reeder
Qualified Audiologist
NPI 1790983757
10535 NE GLISAN ST STE 350
Portland, OR 97220
(503) 408-1323
✔ Accepts Medicare106 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ear Nose And Throat Associates Southwest Inc Ps's NPI number?

The NPI number for Ear Nose And Throat Associates Southwest Inc Ps is 1376306852. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Ear Nose And Throat Associates Southwest Inc Ps located?

Ear Nose And Throat Associates Southwest Inc Ps is located at 128 Lilly Rd NE Ste 202, Olympia, WA 98506. The listed phone number is (360) 357-6314.

What is Ear Nose And Throat Associates Southwest Inc Ps's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ear Nose And Throat Associates Southwest Inc Ps enrolled in Medicare?

Yes. Ear Nose And Throat Associates Southwest Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear Nose And Throat Associates Southwest Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear Nose And Throat Associates Southwest Inc Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3) and Qualified Audiologist (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear Nose And Throat Associates Southwest Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ear Nose And Throat Associates Southwest Inc Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ear Nose And Throat Associates Southwest Inc Ps was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.