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OTOLARYNGOLOGY ASSOCIATES LLC NPI 1447398839


NPI Information

NPI: 1447398839
Provider Name: OTOLARYNGOLOGY ASSOCIATES, LLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
9002 NORTH MERIDIAN STREET
SUITE 222
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 573-4370
Get Directions

OTOLARYNGOLOGY ASSOCIATES, LLC is an otolaryngology in Indianapolis, 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. OTOLARYNGOLOGY ASSOCIATES, LLC NPI is 1447398839. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9002 NORTH MERIDIAN STREET
SUITE 222
INDIANAPOLIS, IN
ZIP 46260-350
Phone: (317) 573-4370
Fax: (317) 819-0044

The provider's authorized official is Thomas H Fairchild .
The authorized official title is President and has the following contact phone number (317) 844-7059.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 7/23/2014.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
2207Y00000XOtolaryngologyYes

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
1267650MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2200838770MEDICAIDINDIANA
3100057100MEDICAIDINDIANA
4CC1971OTHERINDIANAMEDICARE RAILROAD

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: 11/14/2023

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