Plains Ear, Nose, Throat & Facial Plastic Surgery PC
Otolaryngology, Facial Plastic Surgery in West Fargo, ND. Organization (NPI-2).
NPI number1003199829
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1003199829
- Entity type
- Organization (NPI-2)
- Legal business name
- Plains Ear, Nose, Throat & Facial Plastic Surgery PC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2011
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 10000 | ND | Yes |
Other names
- Plains Ear, Nose, Throat & Facial Plastic Surgery (Doing Business As)
Practice location
350 23rd Ave E Ste 102West Fargo, ND 58078-7401
Phone 701-235-1924 · Fax 701-235-6304
Mailing address
350 23rd Ave E Ste 102West Fargo, ND 58078-7401
Phone 701-235-1924 · Fax 701-235-6304
Authorized official
Lesley A Soine
Owner
7012351924
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