Provider Demographics
NPI:1831145523
Name:VALLEY ENT ASSOCIATES PC
Entity Type:Organization
Organization Name:VALLEY ENT ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-799-8620
Mailing Address - Street 1:2551 MCLEOD DR S
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2827
Mailing Address - Country:US
Mailing Address - Phone:989-799-8620
Mailing Address - Fax:989-799-2664
Practice Address - Street 1:2551 MCLEOD DR S
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2827
Practice Address - Country:US
Practice Address - Phone:989-799-8620
Practice Address - Fax:989-799-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0980599OtherHEALTH PLUS GROUP NUMBER
MAG02967OtherBLUE CROSS GROUP NUMBER
MIOM30360Medicare UPIN