CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1366793465
Otolaryngology in Mooresville, NC

NPI Status: Active since September 28, 2012

Contact Information

144 FOUNTAIN PL
MOORESVILLE, NC
ZIP 28117
Phone: (704) 658-0595
Fax: (704) 658-0916

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  • Organization
  • Otolaryngology

About CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Charlotte Eye Ear Nose & Throat Associates, Pa, a provider established in Mooresville, North Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1366793465 assigned on September 2012. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Charlotte Eye Ear Nose & Throat Associates, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jag S Gill Scd (Ceo)

NPI
1366793465
Provider Name
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Entity Type
Organization
Location Address
144 FOUNTAIN PL MOORESVILLE, NC 28117
Location Phone
(704) 658-0595
Location Fax
(704) 658-0916
Mailing Address
6035 FAIRVIEW RD CHARLOTTE, NC 28210
Mailing Phone
(704) 295-3000
Mailing Fax
(704) 658-0916
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2012
Last Update Date
09-12-2024
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207YS0123XAllopathic & Osteopathic Physicians

Otolaryngology
Facial Plastic Surgery

 
2231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 
3237600000XSpeech, Language and Hearing Service Providers

Audiologist-Hearing Aid Fitter

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JAG S GILL SCD

Authorized Official Title
CEO
Authorized Official Phone
(704) 295-3000

Reviews for CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366793465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261496412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 9 + 6 + 4 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1366793465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295139798 LAURA DOHERTY PA-C
Individual
Physician Assistant144 FOUNTAIN PL
MOORESVILLE, NC 28117
(704) 658-0595
1396728804DR. ROY SHELDON LEWIS MD
Individual
Otolaryngology144 FOUNTAIN PL
MOORESVILLE, NC 28117
(704) 658-0595
1720062763DR. SHOBIT RASTOGI M.D.
Individual
Ophthalmology144 FOUNTAIN PL
MOORESVILLE, NC 28117
(704) 658-0595
1093414484MS. KATHERINE GRACE DUNCAN PA-C
Individual
Physician Assistant144 FOUNTAIN PL
MOORESVILLE, NC 28117
(704) 658-0595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366793465, enumerated in the NPI registry as an "organization" on September 28, 2012

The provider is located at 144 Fountain Pl Mooresville, Nc 28117 and the phone number is (704) 658-0595

This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X

This NPI record was last updated on September 28, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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