| Charlotte Eye Ear Nose & Throat Associates, P.a. | |
|
6035 Fairview Rd, Charlotte, NC 28210-3256 | |
| (704) 295-3000 | |
| (704) 838-8494 |
| Full Name | Charlotte Eye Ear Nose & Throat Associates, P.a. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 6035 Fairview Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043287469 | NPI | - | NPPES |
| 0198T | Other | BCBS NC - ENT SPECIALTY | |
| DAN990 | Medicaid | SC | |
| 24226 | Other | PARTNERS | |
| 8381115 | Other | AETNA PPO | |
| 545513 | Other | AETNA HMO | |
| 3521 | Other | DOCTORS HEALTH | |
| NC60802A | Other | BEECH STREET | |
| E04769 | Medicaid | SC | |
| 890198T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| Provider Name | Joshua D Levine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275557126 PECOS PAC ID: 2860391653 Enrollment ID: I20031231000073 |
| Provider Name | Brent B Warren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790779254 PECOS PAC ID: 9133018864 Enrollment ID: I20040311001067 |
| Provider Name | Todd R Reulbach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730158858 PECOS PAC ID: 6305837493 Enrollment ID: I20040519000038 |
| Provider Name | Stephen B Clyne |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427026210 PECOS PAC ID: 5496737447 Enrollment ID: I20040603000316 |
| Provider Name | Mark Jeffrey Abrams |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508827825 PECOS PAC ID: 5395736409 Enrollment ID: I20041025000206 |
| Provider Name | Sajeev K Puri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538137971 PECOS PAC ID: 2961433966 Enrollment ID: I20050830000390 |
| Provider Name | Barbara M Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649237124 PECOS PAC ID: 8527083419 Enrollment ID: I20051010000919 |
| Provider Name | Andrew Antoszyk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427016443 PECOS PAC ID: 7719994888 Enrollment ID: I20060314000689 |
| Provider Name | Michael J Spicola |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801846357 PECOS PAC ID: 7517974686 Enrollment ID: I20060314000707 |
| Provider Name | Mark T Weigel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780640540 PECOS PAC ID: 3072524735 Enrollment ID: I20060509000411 |
| Provider Name | Gregory S Parsons |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326042110 PECOS PAC ID: 3072560325 Enrollment ID: I20060608000204 |
| Provider Name | Justin C Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548228026 PECOS PAC ID: 0042225906 Enrollment ID: I20060802000138 |
| Provider Name | William M Hammonds |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760433197 PECOS PAC ID: 4688605835 Enrollment ID: I20060809000375 |
| Provider Name | Erin O Schotthoefer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386673580 PECOS PAC ID: 5698770634 Enrollment ID: I20060925000474 |
| Provider Name | Darrell A Klotz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518952589 PECOS PAC ID: 8628080678 Enrollment ID: I20061101000034 |
| Provider Name | Craig S Self |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154301844 PECOS PAC ID: 4284734369 Enrollment ID: I20070703000555 |
| Provider Name | Steven B Heavner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457388316 PECOS PAC ID: 3072526532 Enrollment ID: I20070728000046 |
| Provider Name | Chad S Kessler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174667521 PECOS PAC ID: 1850483231 Enrollment ID: I20070815000886 |
| Provider Name | Mark Gabrych |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750457131 PECOS PAC ID: 0143315291 Enrollment ID: I20071003000880 |
| Provider Name | Shelby Melissa Greenberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831361070 PECOS PAC ID: 9436238193 Enrollment ID: I20080506000585 |
| Provider Name | Victoria Howie Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174795322 PECOS PAC ID: 1052480217 Enrollment ID: I20080514000700 |
| Provider Name | Taressa G Haney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144433681 PECOS PAC ID: 6901998095 Enrollment ID: I20080808000081 |
| Provider Name | Douglas B Villaret |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881611671 PECOS PAC ID: 2961577077 Enrollment ID: I20080822000718 |
| Provider Name | Jamie R Scaglione |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831168202 PECOS PAC ID: 0345317939 Enrollment ID: I20080924000054 |
| Provider Name | Sumit K Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487662003 PECOS PAC ID: 3577530351 Enrollment ID: I20081023000625 |
| Provider Name | Natalia G Hertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891778262 PECOS PAC ID: 9830113380 Enrollment ID: I20090504000565 |
| Provider Name | Hunter Ashley Hoover |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356319933 PECOS PAC ID: 9335297464 Enrollment ID: I20090609000682 |
| Provider Name | Usha P Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609077841 PECOS PAC ID: 8527119213 Enrollment ID: I20090618000681 |
| Provider Name | Kenneth C Mathys |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154534477 PECOS PAC ID: 8729157128 Enrollment ID: I20090706000172 |
| Provider Name | Joshua A Rheinbolt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083805725 PECOS PAC ID: 9739232158 Enrollment ID: I20090803000606 |
| Provider Name | Michael T Falcone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629282371 PECOS PAC ID: 2163576992 Enrollment ID: I20090813000463 |
| Provider Name | Christopher L Tebbit |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336316819 PECOS PAC ID: 7911051644 Enrollment ID: I20090814000539 |
| Provider Name | Terri T Gerlach |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063746253 PECOS PAC ID: 2365588084 Enrollment ID: I20091012000236 |
| Provider Name | Walter G Atlas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891743803 PECOS PAC ID: 8628117439 Enrollment ID: I20091207000568 |
| Provider Name | David Judson Browning |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326098393 PECOS PAC ID: 6305986811 Enrollment ID: I20091214000741 |
| Provider Name | Floyd B Gibson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548238561 PECOS PAC ID: 2062552318 Enrollment ID: I20091216000515 |
| Provider Name | Norman Melton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013961069 PECOS PAC ID: 2961542972 Enrollment ID: I20091223000460 |
| Provider Name | Scott Leonard Jaben |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174572598 PECOS PAC ID: 1850431768 Enrollment ID: I20091224000047 |
| Provider Name | Donald B Kamerer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669440145 PECOS PAC ID: 5395885206 Enrollment ID: I20091224000052 |
| Provider Name | Michael W Sicard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508834847 PECOS PAC ID: 7416097373 Enrollment ID: I20091228000406 |
| Provider Name | Steven R Gold |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821066481 PECOS PAC ID: 9133260656 Enrollment ID: I20100106000445 |
| Provider Name | Donald Stewart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225093578 PECOS PAC ID: 2264573310 Enrollment ID: I20100111000826 |
| Provider Name | John R Blumer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245207315 PECOS PAC ID: 8123108404 Enrollment ID: I20100201000335 |
| Provider Name | Timothy G Saunders |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275583494 PECOS PAC ID: 9133209414 Enrollment ID: I20100202000732 |
| Provider Name | Kashyap B Kansupada |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386694586 PECOS PAC ID: 9931242690 Enrollment ID: I20100203000136 |
| Provider Name | Robert Andrew Flores |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265480149 PECOS PAC ID: 5597808287 Enrollment ID: I20100203000363 |
| Provider Name | Hugh M Lovejoy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164490975 PECOS PAC ID: 6305926684 Enrollment ID: I20100208000402 |
| Provider Name | Frederick S Sutherland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972560407 PECOS PAC ID: 5496835779 Enrollment ID: I20100211000360 |
| Provider Name | John Robert Silver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417925504 PECOS PAC ID: 6406936780 Enrollment ID: I20100212000088 |
| Provider Name | Lori Ellen Sutton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376761114 PECOS PAC ID: 9830229814 Enrollment ID: I20100618000042 |
| Provider Name | Heather Morrison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548581804 PECOS PAC ID: 7719019066 Enrollment ID: I20100721000959 |
| Provider Name | Jonathan R Moss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447307244 PECOS PAC ID: 5698808566 Enrollment ID: I20100728001062 |
| Provider Name | Robert M Saltzmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548463433 PECOS PAC ID: 8820134281 Enrollment ID: I20100729000674 |
| Provider Name | James G Kaufmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083693527 PECOS PAC ID: 2769559400 Enrollment ID: I20100804000803 |
| Provider Name | James K Dziadziola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033108980 PECOS PAC ID: 0446311633 Enrollment ID: I20100805000186 |
| Provider Name | Francis Langford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952348492 PECOS PAC ID: 8022132521 Enrollment ID: I20100907000515 |
| Provider Name | Robert Harley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164446001 PECOS PAC ID: 6406882604 Enrollment ID: I20100910000782 |
| Provider Name | John D Kilde |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023094026 PECOS PAC ID: 4284801176 Enrollment ID: I20120117000693 |
| Provider Name | Roy S Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396728804 PECOS PAC ID: 5496789042 Enrollment ID: I20120614000447 |
| Provider Name | Nicholas Stowell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386848877 PECOS PAC ID: 2567627029 Enrollment ID: I20120706000463 |
| Provider Name | Wei Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508001876 PECOS PAC ID: 0446408272 Enrollment ID: I20120919000475 |
| Provider Name | Kelly Ann Doty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821348145 PECOS PAC ID: 3375793300 Enrollment ID: I20121026000702 |
| Provider Name | Lisa Barnhart Fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225376510 PECOS PAC ID: 4082850359 Enrollment ID: I20130412000109 |
| Provider Name | Jaren A Bates |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316166473 PECOS PAC ID: 9436399615 Enrollment ID: I20130711000503 |
| Provider Name | Vipul Chandrahas Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174747059 PECOS PAC ID: 2567554884 Enrollment ID: I20130726000650 |
| Provider Name | Omar Suresh Punjabi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508022286 PECOS PAC ID: 5193993426 Enrollment ID: I20130805000969 |
| Provider Name | Elliott Capers Mckee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457589970 PECOS PAC ID: 1355584319 Enrollment ID: I20130823000943 |
| Provider Name | Amanda Beth Humphreys |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700226214 PECOS PAC ID: 8921242884 Enrollment ID: I20130913000613 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346321650 PECOS PAC ID: 1355364647 Enrollment ID: I20131022000472 |
| Provider Name | Timothy Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689731085 PECOS PAC ID: 7416991005 Enrollment ID: I20131022000622 |
| Provider Name | Carolyn Franks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083864953 PECOS PAC ID: 6103986856 Enrollment ID: I20140124000527 |
| Provider Name | Nehali Vira Saraiya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548422595 PECOS PAC ID: 0648301820 Enrollment ID: I20140322000070 |
| Provider Name | Leighanne Hoskins Dorton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164687604 PECOS PAC ID: 0749400778 Enrollment ID: I20140925001172 |
| Provider Name | Rachel Peck Sabo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558528000 PECOS PAC ID: 1951453182 Enrollment ID: I20150129001788 |
| Provider Name | Robyn A Bogan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164827952 PECOS PAC ID: 7810202637 Enrollment ID: I20150821014069 |
| Provider Name | Ross Adam Udoff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508185075 PECOS PAC ID: 4587970587 Enrollment ID: I20150908000891 |
| Provider Name | Veena Rao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134410186 PECOS PAC ID: 3779891445 Enrollment ID: I20150929002342 |
| Provider Name | Daniel Scott Brickman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760636450 PECOS PAC ID: 8729228283 Enrollment ID: I20160310000366 |
| Provider Name | Justin Nichoals Mcgrath |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730583758 PECOS PAC ID: 0840501862 Enrollment ID: I20160830002947 |
| Provider Name | Jessa Nicole Gombert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225480445 PECOS PAC ID: 4688960867 Enrollment ID: I20160914002360 |
| Provider Name | Adrian J Elfersy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457670606 PECOS PAC ID: 3375775109 Enrollment ID: I20160919002016 |
| Provider Name | Courtney Rae Matthews |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124470265 PECOS PAC ID: 9234426255 Enrollment ID: I20160920000039 |
| Provider Name | Pedro Cervantes Fanning |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760633812 PECOS PAC ID: 2466625785 Enrollment ID: I20161121000583 |
| Provider Name | Isaac Felder Dingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306196266 PECOS PAC ID: 4688946270 Enrollment ID: I20170816003189 |
| Provider Name | Ernest M. Bhend |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033157623 PECOS PAC ID: 5890741896 Enrollment ID: I20170818001045 |
| Provider Name | Brendan Powers O Connell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356662936 PECOS PAC ID: 6709188576 Enrollment ID: I20170830002038 |
| Provider Name | Kallie Telfer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285157669 PECOS PAC ID: 0143593608 Enrollment ID: I20170905001201 |
| Provider Name | John B Allen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689968216 PECOS PAC ID: 0648406272 Enrollment ID: I20170919000021 |
| Provider Name | Eric Sherman Tyler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760721609 PECOS PAC ID: 6800160334 Enrollment ID: I20170922001201 |
| Provider Name | Ashley Cheese |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285158709 PECOS PAC ID: 6204100357 Enrollment ID: I20170928000121 |
| Provider Name | Duncan Berry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326488560 PECOS PAC ID: 1951535590 Enrollment ID: I20180124001536 |
| Provider Name | Siobhan M Groves |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376050625 PECOS PAC ID: 2860753191 Enrollment ID: I20180302000007 |
| Provider Name | Kayla Cathleen Newkirk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447626296 PECOS PAC ID: 0042571036 Enrollment ID: I20180308001551 |
| Provider Name | Jad Raymond Jabbour |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700142551 PECOS PAC ID: 1052630704 Enrollment ID: I20180710003561 |
| Provider Name | Ellen Watson Wozniak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629561386 PECOS PAC ID: 6305193202 Enrollment ID: I20180724001931 |
| Provider Name | Shelby Swafford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518451798 PECOS PAC ID: 8921355652 Enrollment ID: I20180725003970 |
| Provider Name | Alexandra Vollmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336632306 PECOS PAC ID: 1153679725 Enrollment ID: I20180730003630 |
| Provider Name | Greer Mckenzie Bailey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710440086 PECOS PAC ID: 5496098238 Enrollment ID: I20190520001738 |
| Provider Name | Alexander Luck |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801359336 PECOS PAC ID: 6507109287 Enrollment ID: I20190521001234 |
| Provider Name | Riley Cathleen Rogan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023571551 PECOS PAC ID: 0244573848 Enrollment ID: I20190523000354 |
| Provider Name | Ian David Kirchner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639583859 PECOS PAC ID: 4789800434 Enrollment ID: I20190612000383 |
| Provider Name | Kyndal Gray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437612959 PECOS PAC ID: 1355674706 Enrollment ID: I20190618000325 |
| Provider Name | Zachary John Cappello |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295077014 PECOS PAC ID: 9931415833 Enrollment ID: I20190702000478 |
| Provider Name | Jewel D Greywoode |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023227626 PECOS PAC ID: 5294913208 Enrollment ID: I20190807002073 |
| Provider Name | Payal Shah Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356735617 PECOS PAC ID: 8527377787 Enrollment ID: I20190819001014 |
| Provider Name | Neela Rao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255673885 PECOS PAC ID: 2860702123 Enrollment ID: I20190823000045 |
| Provider Name | Catherine Emily Cuite |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679560221 PECOS PAC ID: 3173581063 Enrollment ID: I20191031001292 |
| Provider Name | Alexandra Marie Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528607348 PECOS PAC ID: 2466888458 Enrollment ID: I20200211002238 |
| Provider Name | Adam Richard Gigliotti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598151763 PECOS PAC ID: 6608174594 Enrollment ID: I20200602000566 |
| Provider Name | Mary Frances Lewis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942822325 PECOS PAC ID: 5799107223 Enrollment ID: I20200629003666 |
| Provider Name | Brian Ferrell White |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669852661 PECOS PAC ID: 6507289949 Enrollment ID: I20200702000410 |
| Provider Name | Lee Wiley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518351493 PECOS PAC ID: 0143522953 Enrollment ID: I20200708003238 |
| Provider Name | Ronald Milam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205256724 PECOS PAC ID: 0941565386 Enrollment ID: I20200713001439 |
| Provider Name | Emily Boyd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003102740 PECOS PAC ID: 7517138290 Enrollment ID: I20200715000450 |
| Provider Name | Jessica Dawn Noblitt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316564701 PECOS PAC ID: 2062836091 Enrollment ID: I20200722003369 |
| Provider Name | Allison M Loehrke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124645916 PECOS PAC ID: 3274959812 Enrollment ID: I20200813001982 |
| Provider Name | Susan Yanik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700206307 PECOS PAC ID: 7517205990 Enrollment ID: I20200824000039 |
| Provider Name | Katherine Orman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255743696 PECOS PAC ID: 7416244850 Enrollment ID: I20200827003368 |
| Provider Name | Jeremy Clinton Schwartz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134747637 PECOS PAC ID: 0446670780 Enrollment ID: I20201026002124 |
| Provider Name | Courtney Hart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861919888 PECOS PAC ID: 0749556199 Enrollment ID: I20201026002731 |
| Provider Name | Bailey Rose Rosenbalm |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437728680 PECOS PAC ID: 2961804687 Enrollment ID: I20210716001525 |
| Provider Name | Katie Marie Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265102875 PECOS PAC ID: 5193123495 Enrollment ID: I20211015002578 |
| Provider Name | Meagan Miles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013532894 PECOS PAC ID: 0345632014 Enrollment ID: I20220110002556 |
| Provider Name | Beth Frances Reed |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508530213 PECOS PAC ID: 4688069768 Enrollment ID: I20220329000133 |
| Provider Name | Brittany M. Thibodeau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689160269 PECOS PAC ID: 0446507198 Enrollment ID: I20220713000536 |
| Provider Name | Jordyn M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508597915 PECOS PAC ID: 7416339395 Enrollment ID: I20220809003146 |
| Provider Name | Katherine Kim Szczepkowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487388815 PECOS PAC ID: 2769865989 Enrollment ID: I20220819001609 |
| Provider Name | Sarah Crosby Bernacki |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336802248 PECOS PAC ID: 0042603623 Enrollment ID: I20220822003591 |
| Provider Name | Sarah Pressley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568195527 PECOS PAC ID: 5698159580 Enrollment ID: I20220825003624 |
| Provider Name | Ellyn Elizabeth Grider |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689305922 PECOS PAC ID: 7719361625 Enrollment ID: I20220826000059 |
| Provider Name | Madison G Lancaster |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295481802 PECOS PAC ID: 5991189813 Enrollment ID: I20220826000472 |
| Provider Name | Janelle L Heinks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134852031 PECOS PAC ID: 3971987611 Enrollment ID: I20220830003077 |
| Provider Name | Kelly Dean Kamp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821524661 PECOS PAC ID: 9335417195 Enrollment ID: I20220926002318 |
| Provider Name | Delaney Marie Tice |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245964733 PECOS PAC ID: 1355727413 Enrollment ID: I20220928000415 |
| Provider Name | Nicholas Abt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942623566 PECOS PAC ID: 1951696541 Enrollment ID: I20220928001631 |
| Provider Name | Chao Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154819290 PECOS PAC ID: 8729337654 Enrollment ID: I20220928003799 |
| Provider Name | Jason Barnes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154851079 PECOS PAC ID: 7416229695 Enrollment ID: I20220929002970 |
| Provider Name | Darrin Vincent Bann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437544152 PECOS PAC ID: 9931509072 Enrollment ID: I20221013003314 |
| Provider Name | Brianna Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023732385 PECOS PAC ID: 5991172058 Enrollment ID: I20221101003382 |
| Provider Name | Allison Mcalpine Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063947612 PECOS PAC ID: 0244586345 Enrollment ID: I20221112000059 |
| Provider Name | Shobit Rastogi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720062763 PECOS PAC ID: 9133147457 Enrollment ID: I20221215000877 |
| Provider Name | Jake Preston Hemminger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730863101 PECOS PAC ID: 1254792161 Enrollment ID: I20230725001716 |
| Provider Name | Daniel Morrison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225484603 PECOS PAC ID: 0941597934 Enrollment ID: I20230901000010 |
| Provider Name | Jeffrey Stetler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053818534 PECOS PAC ID: 7315274792 Enrollment ID: I20230901001252 |
| Provider Name | Kevin Christopher Coughlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306297841 PECOS PAC ID: 3375810682 Enrollment ID: I20230908000168 |
| Provider Name | Shelby Helen Martell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417733478 PECOS PAC ID: 7113371030 Enrollment ID: I20230927000285 |
| Provider Name | Lindsey M Trefz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437642188 PECOS PAC ID: 3375895485 Enrollment ID: I20231001000017 |
| Provider Name | Anya Trumler-sebring |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487774949 PECOS PAC ID: 4486708955 Enrollment ID: I20231024003797 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Eye Ear Nose & Throat Associates, P.a. 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Charlotte Eye Ear Nose & Throat Associates, P.a. 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 |