Provider Demographics
NPI:1437272481
Name:ELKO ENT SPECIALISTS
Entity type:Organization
Organization Name:ELKO ENT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUDLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-324-3800
Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:SUITE 670
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4505
Mailing Address - Country:US
Mailing Address - Phone:775-324-3800
Mailing Address - Fax:775-324-3803
Practice Address - Street 1:1825 PINION RD
Practice Address - Street 2:SUITE F
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8318
Practice Address - Country:US
Practice Address - Phone:775-753-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3496207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1043216500OtherPAUL C LUDLOW NPI
NV1275636698OtherDR MATHIS NPI
NV1043216500OtherPAUL C LUDLOW NPI
NV1275636698OtherDR MATHIS NPI
NVV31284Medicare ID - Type UnspecifiedPAUL C LUDLOW PIN
NVV31285Medicare ID - Type UnspecifiedDR MATHIS NPI