# EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003584475
- **Authorized official:** DR. RYAN EDGAR GEGG DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (810) 610-3313

## Contact information

- **Practice address:** 141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
- **Practice address phone:** (850) 797-6191
- **Practice address fax:** (850) 420-8342
- **Mailing address:** 141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
- **Mailing address phone:** (850) 797-6191
- **Mailing address fax:** (850) 797-6191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 07/27/2022