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MIDWEST EAR NOSE AND THROAT SURGERY PSC NPI 1437153285


NPI Information

NPI: 1437153285
Provider Name: MIDWEST EAR NOSE AND THROAT SURGERY, PSC

Former Legal Business Name: MIDWEST OTOLARNGOLOGY

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1401 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714
Phone: (812) 473-2060
Get Directions

MIDWEST EAR NOSE AND THROAT SURGERY, PSC 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. MIDWEST EAR NOSE AND THROAT SURGERY, PSC NPI is 1437153285. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Midwest Otolarngology.

The provider's business location address is:

1401 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714-014
Phone: (812) 473-2060
Fax: (812) 473-0763

The provider's authorized official is Mark B Logan .
The authorized official title is Owner and has the following contact phone number (812) 473-2060.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 4/12/2024.


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
1207Y00000XOtolaryngologyKENTUCKYYes

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
1200069270AMEDICAIDINDIANA
265937542MEDICAIDKENTUCKY
3200069270DMEDICAIDINDIANA

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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