Provider Demographics
NPI:1811944689
Name:W.N.C. EAR NOSE THROAT HEAD AND NECK SURGEONS, PA
Entity type:Organization
Organization Name:W.N.C. EAR NOSE THROAT HEAD AND NECK SURGEONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:828-252-1853
Mailing Address - Street 1:285 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2606
Mailing Address - Country:US
Mailing Address - Phone:828-252-1853
Mailing Address - Fax:828-259-9468
Practice Address - Street 1:285 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2606
Practice Address - Country:US
Practice Address - Phone:828-252-1853
Practice Address - Fax:828-259-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02944OtherBLUE CROSS GROUP NUMBER
NC8902944Medicaid
CL8059OtherRAILROAD MEDICARE
CL8059OtherRAILROAD MEDICARE
NC0123Medicare PIN