Advanced Ear, Nose, Throat Associates, LLC
NPI 1861791402ActiveOrganization· Otolaryngology· Jacksonville Beach, FL
Otolaryngology in Jacksonville Beach, Florida, registered in NPPES in March 2011. The authorized official on file is Kunal Thakkar, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861791402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2011 |
| Last updated in NPPES | Dec 6, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | ME104096 | FL |
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 (FL) |
|---|
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