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SUMMERLIN OTOLOGY INC NPI 1952388837


NPI Information

NPI: 1952388837
Provider Name: SUMMERLIN OTOLOGY INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
3351 N MERIDIAN ST
SUITE 100
INDIANAPOLIS, IN
ZIP 46208
Phone: (317) 923-5439
Get Directions

SUMMERLIN OTOLOGY INC 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. SUMMERLIN OTOLOGY INC NPI is 1952388837. The provider is registered as an organization entity type.

The provider's business location address is:

3351 N MERIDIAN ST
SUITE 100
INDIANAPOLIS, IN
ZIP 46208-674
Phone: (317) 923-5439
Fax: (317) 923-4633

The provider's authorized official is Jack D Summerlin .
The authorized official title is President Md and has the following contact phone number (317) 923-5439.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 5/12/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Y00000XOtolaryngology01017561INDIANAYes

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
1200891910AMEDICAIDINDIANA
2959880MEDICARE PININDIANA
3041068120OTHERINDIANARAILROAD
4100119090AMEDICAIDINDIANA
5100065670CMEDICAIDINDIANA

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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