EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC NPI 1003584475

NPI Information

NPI: 1003584475
Provider Name: EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
141 MACK BAYOU LOOP STE 102
SANTA ROSA BEACH, FL
ZIP 32459
Phone: (850) 797-6191
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EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC is an otolaryngology/facial plastic surgery otolaryngology in Santa Rosa Beach, FL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC NPI is 1003584475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

141 MACK BAYOU LOOP STE 102
SANTA ROSA BEACH, FL
ZIP 32459-194
Phone: (850) 797-6191
Fax: (850) 420-8342

The provider's authorized official is Ryan Edgar Gegg .
The authorized official title is Owner/physician and has the following contact phone number (810) 610-3313.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 7/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207Y00000X	Otolaryngology		No
3	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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