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JACKSON ENT CLINIC , PSC
NPI 1831225465
Otolaryngology in Jackson, KY

Active since February 26, 2007
1550 HIGHWAY 15 S STE 29, JACKSON, KY 41339(606) 666-9909(606) 666-9982 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Ent Clinic , Psc NPPES

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

JACKSON ENT CLINIC , PSC (NPI 1831225465) is a healthcare organization registered as an otolaryngology in Jackson, Kentucky and active in the NPI registry since February 2007. The organization lists Tariq A Sartawi, Owner, as its authorized official.

NPPES Registry Identity

NPI1831225465
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameJACKSON ENT CLINIC , PSC
Location Address1550 HIGHWAY 15 S STE 29Jackson, KY 41339-9221
Mailing AddressPo Box 768Jackson, KY 41339-0768 · (606) 666-9909 · Fax (606) 666-9982
Phone(606) 666-9909
Fax(606) 666-9982
Organization SubpartNo
Authorized OfficialTariq A SartawiOwner · (606) 666-9909
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 14, 2008
✔ NPI 1831225465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 36227
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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 36227 (KY)
1550 HIGHWAY 15 S STE 29, Jackson, KY 41339
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Other Identifiers 3

Medicare ID-Type Unspecified0693801KY
MedicaidSA64023724KY
Medicare UPINH27095

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

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 Jackson Ent Clinic , Psc's NPI number?

The NPI number for Jackson Ent Clinic , Psc is 1831225465. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Jackson Ent Clinic , Psc located?

Jackson Ent Clinic , Psc is located at 1550 Highway 15 S Ste 29, Jackson, KY 41339. The listed phone number is (606) 666-9909.

What is Jackson Ent Clinic , Psc'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 Jackson Ent Clinic , Psc was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.