About Us

Please, get to know us.

Timeline

1995 – Dr. Paul Manoukian opens Sierra Nevada Ear, Nose & Throat with offices in South Lake Tahoe and Gardnerville
 

1996 – Dr. Brian Romaneschi joins SNENT
 

2000 – SNENT acquires a Carson City ENT practice and opens their third office on Washington Street
 

2006 –  Audiologist Dr. Heather Dean joins the practice, performing diagnostic testing for hearing loss and dizziness

 

2008 – SNENT opens a satellite office to serve Fallon, Nevada
 

2016 - Physician Assistant Erin Burns joins the practice, providing patient care and supporting the mission of doctors Manoukian and Romaneschi

 

2017 - Dr. Alex J. Caten joins the practice, providing an expertise in thyroid and parthyroid conditions, dysphasia, sinus surgery and chronic ear disease

Sierra Nevada Ear, Nose & Throat was founded in 1995 by Dr. Paul Manoukian to provide clinical and surgical care of the ear, nose and throat. Today, we continue to be a physician-owned practice guided by our team of skilled and compassionate doctors, not a hospital or corporation. A native of Carson City, Manoukian returned to the Silver State to open a patient-centered ENT practice after completing his medical training at The Johns Hopkins Hospital. It was at Johns Hopkins that Manoukian met a like-minded physician, and his soon-to-be partner, Dr. Brian Romaneschi, a fellow Johns Hopkins resident.

SNENT opened with offices in South Lake Tahoe, California, and Gardnerville, Nevada. In 1996, a year after opening, Dr. Romaneschi joined the practice. Together, Manoukian and Romaneschi have built a medical practice focused on making a genuine difference in their community through high quality, patient-centered care.

In 2000, SNENT added a Carson City office. Audiologist Dr. Heather Dean joined in 2006. The team gained another member in 2016 with Physician Assistant Erin Burns and added another physician in 2017 with Dr. Alex J. Caten.   

This is what we do

SNENT offers care for the full range of pediatric and adult ear, nose and throat conditions, including ear and throat infections, head and neck illnesses, sleep apnea, snoring, dizziness, voice, sinus and hearing problems. We specialize in endoscopic sinus surgery and head and neck surgery, including in office balloon sinuplasty. SNENT surgeons are also trained in the art of facial and neck cosmetic surgery. Through our sister office – Sierra Nevada Hearing Aid Center – we offer hearing tests and dispense and service hearing aids.

Putting our skills to work for you

SNENT physicians are expertly trained surgeons, as well as clinicians. After completing medical school, residency and additional fellowship training, each physician has received board certification from the American Academy of Otolaryngology Head & Neck Surgery. In addition to their extensive medical and surgical training, they keep up on the latest ENT developments with continuing education.

We are here to serve your needs. From working with your insurance carrier to get coverage to getting you scheduled quickly at one of our three convenient locations, we are here for you.

Timeline

1995 – Dr. Paul Manoukian opens Sierra Nevada Ear, Nose & Throat with offices in South Lake Tahoe and Gardnerville

1996 – Dr. Brian Romaneschi joins SNENT

2000 – SNENT acquires a Carson City ENT practice and opens their third office on Washington Street

2003 – Otologist Dr. John Forest joins the group and SNENT moves to its current location in the Eagle Medical Center in Carson City

2006 – Audiologist Dr. Heather Deanjoins the practice, performing diagnostic testing for hearing loss and dizziness. (Hearing aid dispensing was also available in the ENT office at this time).

2008 – SNENT opens a satellite office to serve Fallon, Nevada

2016 - Physician Assistant Erin Burns joins the practice, providing patient care and supporting the mission of doctors Manoukian, Romaneschi and Forest