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PROVIDENT EAR NOSE AND THROAT LLC
NPI 1922236074
Otolaryngology in Greenville, SC

Active since June 29, 2009
101 S VENTURE DR, GREENVILLE, SC 29615(864) 232-4846(888) 451-9614 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Provident Ear Nose And Throat Llc NPPES

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

PROVIDENT EAR NOSE AND THROAT LLC (NPI 1922236074) is a healthcare organization registered as an otolaryngology in Greenville, South Carolina and active in the NPI registry since June 2009. The organization lists William Michael Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1922236074
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROVIDENT EAR NOSE AND THROAT LLC
Location Address101 S VENTURE DRGreenville, SC 29615-3571
Mailing Address101 S Venture DrGreenville, SC 29615-3571 · (864) 284-9869 · Fax (864) 284-9882
Phone(864) 232-4846
Fax(888) 451-9614
Organization SubpartNo
Authorized OfficialWilliam Michael GreeneOwner · (864) 284-9869
Enumeration DateJune 29, 2009
Last NPPES UpdateDecember 18, 2014
✔ NPI 1922236074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 18523
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.
101 S VENTURE DR, Greenville, SC 29615
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Other Identifiers 2

Medicare UPING264554202SC
MedicaidT25960SC

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

Other Providers at the Same Location NPPES

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

DR. W KENNETH EASLEY JR. MD
Otolaryngology
101 S VENTURE DR
GREENVILLE, SC 29615
Greenville County (864) 297-0087

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 Provident Ear Nose And Throat LLC's NPI number?

The NPI number for Provident Ear Nose And Throat LLC is 1922236074. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Provident Ear Nose And Throat LLC located?

Provident Ear Nose And Throat LLC is located at 101 S Venture Dr, Greenville, SC 29615. The listed phone number is (864) 232-4846.

What is Provident Ear Nose And Throat LLC'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 Provident Ear Nose And Throat LLC was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.