Ear Nose & Throat Clinic Inc.
NPI 1023179587ActiveOrganization· Otolaryngology· Fairbanks, AK
Otolaryngology in Fairbanks, Alaska, registered in NPPES in December 2006. The authorized official on file is Sam Y. Kim, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023179587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Dec 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
| Otolaryngology | 207Y00000X | 83561 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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