Jackson Ent Clinic , Psc
Jackson Ent Clinic , Psc is a healthcare organization registered as Otolaryngology Physician in Jackson, KY, holding Type 2 (organization) NPI 1831225465 since 2007. The authorized official on file is Tariq Sartawi, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831225465 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Ent Clinic , Psc |
| Practice address | 1550 HIGHWAY 15 S STE 29, Jackson, KY, 41339 |
| Phone | 6066669909 |
| Fax | 6066669982 |
| Enumeration date | 2007-02-26 |
| Last updated in NPPES | 2008-11-14 |
Authorized official
| Name | Tariq Sartawi |
|---|---|
| Title | Owner |
| Phone | 6066669909 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Secondary | 36227 | KY |
| 207Y00000X | Otolaryngology Physician | Primary | 36227 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA64023724 | Medicaid | KY | — |
Copy-ready billing details
Provider: Jackson Ent Clinic , Psc NPI: 1831225465 Taxonomy: 207Y00000X (Otolaryngology Physician) Address: 1550 HIGHWAY 15 S STE 29, Jackson, KY, 41339
Verify this record
Cross-check NPI 1831225465 against the authoritative CMS record: view Jackson Ent Clinic , Psc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jackson Ent Clinic , Psc?
What is the NPI number for Jackson Ent Clinic , Psc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-11-14.