Ear Nose & Throat Clinic Inc.
NPI 1023179587 · Otolaryngology Physician · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ear Nose & Throat Clinic Inc. is a Otolaryngology Physician organization in Fairbanks, AK (NPI 1023179587).
Provider details
- NPI number
- 1023179587
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sam Kim, President(907) 456-7768
- License
- 83561 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Ear Nose & Throat Clinic Inc.'s NPI number?
- Ear Nose & Throat Clinic Inc.'s National Provider Identifier (NPI) is 1023179587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ear Nose & Throat Clinic Inc.?
- Ear Nose & Throat Clinic Inc. is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Ear Nose & Throat Clinic Inc. located?
- Ear Nose & Throat Clinic Inc.'s practice location on file with NPPES is 1919 Lathrop St, Fairbanks, AK 99701-5937.
- What is Ear Nose & Throat Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ear Nose & Throat Clinic Inc. is (907) 456-7768.
- Does Ear Nose & Throat Clinic Inc. accept Medicare?
- Ear Nose & Throat Clinic Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ear Nose & Throat Clinic Inc.?
- The authorized official listed on Ear Nose & Throat Clinic Inc.'s NPPES record is Sam Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ear Nose & Throat Clinic Inc.'s NPI active?
- Yes — Ear Nose & Throat Clinic Inc.'s NPI (1023179587) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.