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Ear Nose & Throat Clinic Inc.

Otolaryngology Physician in Fairbanks, AK · enumerated 2006 · authorized official Sam Kim, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023179587

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Registry record

Entity type Organization (Type 2)
Legal business name Ear Nose & Throat Clinic Inc.
Practice address 1919 Lathrop St, Suite 103, Fairbanks, AK, 99701
Fax (907) 456-4045
Enumeration date Dec 12, 2006
Last updated in NPPES Dec 1, 2022

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 83561 (AK) Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Sam Kim
Title President

Other identifiers

Identifier Type State Issuer
1020915 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-01. Verify at npiregistry.cms.hhs.gov.
Where is Ear Nose & Throat Clinic Inc. located?
The practice location on file with NPPES is in Fairbanks, AK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-01.