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MONTGOMERY EAR NOSE & THROAT CLINIC INC NPI 1326001363


NPI Information

NPI: 1326001363
Provider Name: MONTGOMERY EAR NOSE & THROAT CLINIC INC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
9200 MONTGOMERY RD
#2B
CINCINNATI, OH
ZIP 45242
Phone: (513) 891-8700
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MONTGOMERY EAR NOSE & THROAT CLINIC INC is an otolaryngology/facial plastic surgery otolaryngology in Cincinnati, OH. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. MONTGOMERY EAR NOSE & THROAT CLINIC INC NPI is 1326001363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9200 MONTGOMERY RD
#2B
CINCINNATI, OH
ZIP 45242-789
Phone: (513) 891-8700
Fax: (513) 891-8703

The provider's authorized official is Jamee L Kruse .
The authorized official title is Practice Manager and has the following contact phone number (513) 891-8700.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 11/27/2012.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery34004051OHIOYes

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
19242713MEDICARE PINOHIO
29242712MEDICARE PINOHIO
30924898MEDICAIDOHIO
49242711MEDICARE PINOHIO

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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