North Carolina Eye Ear Nose & Throat Pa · Otolaryngology Physician

911 Ridge Rd Ste A, Roxboro, NC 27573-4574

Overview

North Carolina Eye Ear Nose & Throat Pa is a Otolaryngology Physician (organization) practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1861583700, which was assigned on September 27, 2006, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 911 Ridge Rd Ste A, Roxboro, NC 27573-4574; the contact telephone number is 3365972826, and the fax number is 3365972626. The primary taxonomy of North Carolina Eye Ear Nose & Throat Pa is Otolaryngology Physician (207Y00000X). The authorized official for North Carolina Eye Ear Nose & Throat Pa is Jennifer L Whitehead (Credentialing Coordinator).

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.

Provider Information

NPI 1861583700
Entity Type Organization
Organization Name NORTH CAROLINA EYE EAR NOSE & THROAT PA
Provider Name NORTH CAROLINA EYE EAR NOSE & THROAT PA
Practice Address 911 Ridge Rd Ste A
Roxboro
NC 27573-4574
Practice Telephone 3365972826
Practice Fax Number 3365972626
Mailing Address 4102 N Roxboro St
Durham
NC 27704-2122
Mailing Telephone 9195952000
Mailing Fax Number 9195952143
Enumeration Date 2006-09-27
Last Update Date 2025-09-11
Is Organization Subpart N

Authorized Official Information

Official Name JENNIFER L WHITEHEAD
Official Title CREDENTIALING COORDINATOR
Telephone 9195952143

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207W00000XOphthalmology193200000X MULTI-SPECIALTY GROUP
Y207Y00000XOtolaryngology193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
North Carolina Eye Ear Nose & Throat of RoxboroDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 207Y00000X
Taxonomy Otolaryngology Physician
Classification Otolaryngology
Grouping Allopathic & Osteopathic Physicians
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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Other Taxonomy

Code 207W00000X
Taxonomy Ophthalmology Physician
Classification Ophthalmology
Grouping Allopathic & Osteopathic Physicians
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

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Location Information

Street Address 911 RIDGE RD STE A
City ROXBORO
State NC
Zip Code 27573-4574
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Amarika Family Medicine. P.C. 911 Ridge Rd, Suite D, Roxboro, NC 27573-4574Family Medicine Physician2006-06-11
Vijay R Dhoopati 911 Ridge Rd, Ste D, Roxboro, NC 27573-4574Family Medicine Physician2006-06-11

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Msa Home Health and Hospice of The Piedmont Inc 665 Carver Dr Ste B, Roxboro, NC 27573-4580Community Based Hospice Care Agency2018-10-19
Paula Andrea Echeverry Sandoval 441 S Morgan St, Roxboro, NC 27573-5123Dentist2019-01-21
Bayada Home Health Care, Inc. 807 N Madison Blvd, Roxboro, NC 27573-4639Home Health Agency2012-05-07
Person Family Medical Center Incorporated 702 North Main Street, Roxboro, NC 27573-4755Federally Qualified Health Center (FQHC)2006-09-29
Dva Renal Healthcare Inc 1005 Ridge Rd, Roxboro, NC 27573-4513End-Stage Renal Disease (ESRD) Treatment Clinic/Center2006-03-21
Kirstin Kuo-Tung Wu 615 Ridge Rd, Roxboro, NC 27573-4629Physical Therapist2020-03-20
Latasha Bradford 28 Landon Pl, Roxboro, NC 27573-4291Registered Nurse2025-07-16
Andrea Moore Dubocq Bernstein · Andrea Dubocq Bernstein 615 Ridge Rd, Roxboro, NC 27573-4629Physician Assistant2016-09-08
Corey Allen Winkler 441 S Morgan St, Roxboro, NC 27573-5123General Practice Dentistry2023-05-01
Scott Michael Mcmillan 615 Ridge Rd, Suite 202, Roxboro, NC 27573-4629Certified Registered Nurse Anesthetist2006-05-26
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Similar Providers

Providers with similar names

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.