# NORTHWEST EAR NOSE & THROAT, PA

> 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:** 1225113848
- **Authorized official:** MRS. DONNA S CHEEK (PRACTICE MANAGER)
- **Authorized official phone:** (336) 526-1977

## Contact information

- **Practice address:** 250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
- **Practice address phone:** (336) 526-1977
- **Practice address fax:** (336) 526-0061
- **Mailing address:** 250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
- **Mailing address phone:** (336) 526-1977
- **Mailing address fax:** (336) 526-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 74908 | NC | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/15/2008