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TRI-STATE EAR NOSE AND THROAT SURGEONS INC. NPI 1457321721


NPI Information

NPI: 1457321721
Provider Name: TRI-STATE EAR, NOSE, AND THROAT SURGEONS, INC.
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
350 W COLUMBIA ST
SUITE 310
EVANSVILLE, IN
ZIP 47710
Phone: (812) 425-4646
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TRI-STATE EAR, NOSE, AND THROAT SURGEONS, INC. is an otolaryngology in Evansville, IN. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. TRI-STATE EAR, NOSE, AND THROAT SURGEONS, INC. NPI is 1457321721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 W COLUMBIA ST
SUITE 310
EVANSVILLE, IN
ZIP 47710-782
Phone: (812) 425-4646
Fax: (812) 467-7209

The provider's authorized official is David T. Wahle .
The authorized official title is President and has the following contact phone number (812) 425-4646.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 9/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology50001145AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1837480MEDICARE PIN
2100241980MEDICAIDINDIANA
3637200MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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