Southside Head N Neck Surgery Professional Corp
NPI 1194803338 · Otolaryngology Physician · Colonial Heights, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Head N Neck Surgery Professional Corp is a Otolaryngology Physician organization in Colonial Heights, VA (NPI 1194803338).
Provider details
- NPI number
- 1194803338
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Cangcuesta, Physician/Owner(804) 337-1110
- License
- 0101036702 (VA)
Specialties & taxonomies
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
Other names (DBA / former)
- Doing business as
- Southside Ear, Nose & Throat
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2014-07-01
Frequently asked questions
- What is Southside Head N Neck Surgery Professional Corp's NPI number?
- Southside Head N Neck Surgery Professional Corp's National Provider Identifier (NPI) is 1194803338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Head N Neck Surgery Professional Corp?
- Southside Head N Neck Surgery Professional Corp is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Head N Neck Surgery Professional Corp located?
- Southside Head N Neck Surgery Professional Corp's practice location on file with NPPES is 930 South Ave., Colonial Heights, VA 23834.
- What is Southside Head N Neck Surgery Professional Corp's phone number?
- The practice phone number listed in the NPPES registry for Southside Head N Neck Surgery Professional Corp is (804) 504-0530.
- Does Southside Head N Neck Surgery Professional Corp accept Medicare?
- Southside Head N Neck Surgery Professional Corp 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 Southside Head N Neck Surgery Professional Corp?
- The authorized official listed on Southside Head N Neck Surgery Professional Corp's NPPES record is David Cangcuesta, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Head N Neck Surgery Professional Corp's NPI active?
- Yes — Southside Head N Neck Surgery Professional Corp's NPI (1194803338) is active in the NPPES registry as of the last update on 2014-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.