EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC NPI 1225164007

NPI Information

NPI: 1225164007
Provider Name: EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
558 S TRIMBLE RD
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-9952
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EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC is a health service clinic center in Mansfield, OH. EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC NPI is 1225164007. The provider is registered as an organization entity type.

The provider's business location address is:

558 S TRIMBLE RD
MANSFIELD, OH
ZIP 44906-418
Phone: (419) 522-9952
Fax: (419) 522-7050

The provider's authorized official is Michael J Vietti .
The authorized official title is President and has the following contact phone number (419) 522-9952.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 11/5/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	35069405	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2123044	MEDICAID	OHIO
2	CH0644	OTHER	OHIO	RR MEDICARE
3	H04531	MEDICARE UPIN	OHIO
4	9305891	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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