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EAR NOSE AND THROAT MEDICAL GROUP
NPI 1770700502
Otolaryngology in Redwood City, CA

Active since April 20, 2007
805 VETERANS BLVD STE 115, REDWOOD CITY, CA 94063(650) 369-1619 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ear Nose And Throat Medical Group NPPES

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

EAR NOSE AND THROAT MEDICAL GROUP (NPI 1770700502) is a healthcare organization registered as an otolaryngology in Redwood City, California and active in the NPI registry since April 2007. The organization lists David Ellison, M.d., as its authorized official.

NPPES Registry Identity

NPI1770700502
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR NOSE AND THROAT MEDICAL GROUP
Location Address805 VETERANS BLVD STE 115Redwood City, CA 94063-1755
Mailing Address100 S Ellsworth Ave Ste 308San Mateo, CA 94401-3931 · (650) 344-6896
Phone(650) 369-1619
Organization SubpartNo
Authorized OfficialDavid EllisonM.d. · (650) 344-6896
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770700502 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.
805 VETERANS BLVD STE 115, Redwood City, CA 94063
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Other Identifiers 1

MedicaidZZZ80557ZCA

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 Ear Nose And Throat Medical Group's NPI number?

The NPI number for Ear Nose And Throat Medical Group is 1770700502. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Ear Nose And Throat Medical Group located?

Ear Nose And Throat Medical Group is located at 805 Veterans Blvd Ste 115, Redwood City, CA 94063. The listed phone number is (650) 369-1619.

What is Ear Nose And Throat Medical Group'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 Ear Nose And Throat Medical Group 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.