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: July 19, 2026.

  • Organization
  • Otolaryngology

About PROVIDENT EAR NOSE AND THROAT LLC

This page provides the complete NPI Profile along with additional information for Provident Ear Nose And Throat Llc, a provider established in Greenville, South Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1922236074 assigned on June 2009. The practitioner's primary taxonomy code is 207Y00000X with license number 18523 (SC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. William Michael Greene Md (Owner)

NPI
1922236074 Verify this NPI
Provider Name
PROVIDENT EAR NOSE AND THROAT LLC
Entity Type
Organization
Location Address
101 S VENTURE DR GREENVILLE, SC 29615
Location Phone
(864) 232-4846
Location Fax
(888) 451-9614
Mailing Address
101 S VENTURE DR GREENVILLE, SC 29615
Mailing Phone
(864) 284-9869
Mailing Fax
(864) 284-9882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2009
Last Update Date
12-18-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
18523
License State
SC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM MICHAEL GREENE MD

Authorized Official Title
OWNER
Authorized Official Phone
(864) 284-9869

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G264554202MEDICARE UPIN (02)SC 
T25960MEDICAID (05)SC 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Otolaryngology
101 S VENTURE DR
GREENVILLE, SC 29615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922236074, enumerated as an "organization" on June 29, 2009.

The provider is located at 101 S VENTURE DR GREENVILLE, SC 29615 and the phone number is (864) 232-4846.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.