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SALEM PEDIATRIC EAR AND AIRWAY CENTER, PLLC
NPI 1588025381
Otolaryngology - Pediatric Otolaryngology in Winston Salem, NC

Active since March 08, 2016
615 SAINT GEORGE SQUARE CT, SUITE 364, WINSTON SALEM, NC 27103(336) 245-4972(336) 450-1676 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Salem Pediatric Ear And Airway Center, Pllc NPPES

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

SALEM PEDIATRIC EAR AND AIRWAY CENTER, PLLC (NPI 1588025381) is a healthcare organization registered as a pediatric otolaryngology in Winston Salem, North Carolina and active in the NPI registry since March 2016. The organization lists Adele Karen Evans, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1588025381
Entity TypeOrganization
Primary Taxonomy207YP0228X
Legal Business NameSALEM PEDIATRIC EAR AND AIRWAY CENTER, PLLC
Location Address615 SAINT GEORGE SQUARE CT, SUITE 364Winston Salem, NC 27103-1356
Mailing Address615 Saint George Square Ct, Suite 364Winston Salem, NC 27103-1356 · (336) 245-4972 · Fax (336) 450-1676
Phone(336) 245-4972
Fax(336) 450-1676
Organization SubpartNo
Authorized OfficialAdele Karen EvansMember Manager · (919) 699-2269
Enumeration DateMarch 8, 2016
✔ NPI 1588025381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in NC · 2006-00303
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
615 SAINT GEORGE SQUARE CT, Winston Salem, NC 27103
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Other Identifiers 1

Medicaid1760414866NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MRS. EBONEE PERTRICE EDWARDS MS, CRC, LCMHC, ALC
Counselor (Professional)
615 SAINT GEORGE SQUARE CT, STE 300
WINSTON SALEM, NC 27103
Forsyth County (252) 518-5223
MRS. LATONYA YVETTE ANDERSON
In Home Supportive Care
615 SAINT GEORGE SQUARE CT, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 287-4841
JAMIE LEIGH BASSOS BCBA
Behavior Analyst
615 SAINT GEORGE SQUARE CT
WINSTON SALEM, NC 27103
Forsyth County (561) 289-0223
BLU JAAE COUNSELING SERVICES
Counselor (Professional)
615 SAINT GEORGE SQUARE CT, STE 300
WINSTON SALEM, NC 27103
Forsyth County (252) 518-5223
DIGNITY PLUS HOME CARE CORPORATION
Technician (Personal Care Attendant)
615 SAINT GEORGE SQUARE CT
WINSTON SALEM, NC 27103
Forsyth County (240) 330-0468
FORTITUDE COUNSELING SERVICES
Counselor (Professional)
615 SAINT GEORGE SQUARE CT
WINSTON SALEM, NC 27103
Forsyth County (336) 609-3737
LEGACY HOME CARE
Home Health
615 SAINT GEORGE SQUARE CT
WINSTON SALEM, NC 27103
Forsyth County (336) 778-3356
THOMASENE WILSON
Home Health Aide
615 SAINT GEORGE SQUARE CT
WINSTON SALEM, NC 27103
Forsyth County (252) 478-7426

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 Salem Pediatric Ear And Airway Center, PLLC's NPI number?

The NPI number for Salem Pediatric Ear And Airway Center, PLLC is 1588025381. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Salem Pediatric Ear And Airway Center, PLLC located?

Salem Pediatric Ear And Airway Center, PLLC is located at 615 Saint George Square Ct Suite 364, Winston Salem, NC 27103. The listed phone number is (336) 245-4972.

What is Salem Pediatric Ear And Airway Center, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

When was this NPI record last updated?

The NPPES record for Salem Pediatric Ear And Airway Center, PLLC was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.