JACKSON ENT CLINIC , PSC – Otolaryngology Physician, NPI 1831225465

JACKSON ENT CLINIC , PSC is a healthcare provider. based in Jackson, Kentucky. specializing in Otolaryngology Physician. The organization holds a License No. 36227 (KY). The NPI Number for JACKSON ENT CLINIC , PSC is 1831225465

Main info

Organization
Name
JACKSON ENT CLINIC , PSC
NPI
1831225465
Phone
(606) 666-9909
Address
1550 HIGHWAY 15 S STE 29
Authorized Official
DR. TARIQ A SARTAWI OWNER M.D.
Enumeration Date
26 February 2007
Last Update Date
14 November 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JACKSON ENT CLINIC , PSC

  • 1550 HIGHWAY 15 S STE 29

    JACKSON, KY 413399221

    Phone: (606) 666-9909

    Fax: (606) 666-9982

    Type: Location

  • PO BOX 768

    JACKSON, KY 413390768

    Phone: (606) 666-9909

    Fax: (606) 666-9982

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41339)

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Frequently asked questions

What is the standard ID for JACKSON ENT CLINIC , PSC in the U.S.?
In the U.S., JACKSON ENT CLINIC , PSC is identified by NPI 1831225465.
Is JACKSON ENT CLINIC , PSC currently accepting referrals based on NPI status?
Registry metadata lists JACKSON ENT CLINIC , PSC as active.
What services align with JACKSON ENT CLINIC , PSC's listing?
JACKSON ENT CLINIC , PSC's public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is JACKSON ENT CLINIC , PSC tied to Jackson, Kentucky?
If you are local to Jackson, Kentucky, JACKSON ENT CLINIC , PSC may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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