OTOLARYNGOLOGY ASSOCIATES LLC


Address: 1115 Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6913
Phone: 3178447059

OTOLARYNGOLOGY ASSOCIATES LLC (NPI# 1023130333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023130333
Entity Type Organization
Organization Name OTOLARYNGOLOGY ASSOCIATES LLC
Practice Address 1115 Ronald Reagan Pkwy
Ste 255
Avon
IN 46123-6913
Mailing Address 9002 N Meridian St
Ste 222
Indianapolis
IN 46260-5350
Practice Telephone 3178447059
Practice Fax Number 3175734352
Mailing Telephone 3175734370
Mailing Fax Number 3178190044
Enumeration Date 2007-04-06
Last Update Date 2010-07-20
Authorized Official Name THOMAS H FAIRCHILD (PRESIDENT)
Authorized Official Telephone 3178447059
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200838770D 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639291271 Otolaryngology Associates LLC Otolaryngology 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 2007-04-04
1710009014 Otolaryngology Associates LLC Otolaryngology 150 W Washington St, Shelbyville, IN 46176-1236 2007-04-06
1326160631 Otolaryngology Associates LLC Otolaryngology 5255 E Stop 11 Rd, Ste 400, Indianapolis, IN 46237-6341 2007-04-06
1841312469 Otolaryngology Associates LLC Otolaryngology 6640 Parkdale Pl, Ste O, Indianapolis, IN 46254-5656 2007-04-04
1134241706 Otolaryngology Associates LLC Otolaryngology 2312 S Dixon Rd, Ste 200, Kokomo, IN 46902-6423 2007-04-04
1780706325 Otolaryngology Associates LLC Otolaryngology 8040 Clearvista Pkwy, Ste 350, Indianapolis, IN 46256-4673 2007-04-04
1598887143 Otolaryngology Associates LLC Otolaryngology 1101 W Jefferson St, Ste S, Franklin, IN 46131-2728 2007-04-04
1073635553 Otolaryngology Associates LLC Otolaryngology 18051 River Ave, Ste 104, Noblesville, IN 46062-7093 2007-04-04
1861514341 Otolaryngology Associates LLC Otolaryngology 11725 N Illinois St, Ste 445, Carmel, IN 46032-3010 2007-04-04
1841312402 Otolaryngology Associates LLC Otolaryngology 1 Memorial Sq, Ste 230, Greenfield, IN 46140-1381 2007-04-04

Office Location

Street Address 1115 RONALD REAGAN PKWY
STE 255
City AVON
State IN
Zip Code 46123-6913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679573620 James C Sloan Urology 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 2005-07-29
1487111274 Ann Shackelford Reeves Nurse Practitioner 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2019-02-27
1215412432 Heather Renee Seaborne Registered Nurse 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2018-10-03
1770959744 Chelsea Durnil Pharmacist 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 2015-08-13
1578961314 Urology of Indiana L.l. C. Durable Medical Equipment & Medical Supplies 1115 Ronald Reagan Pkwy, Suite 247, Avon, IN 46123-6910 2014-12-10
1639445315 Thomas A Brady Sports Medicine Ctr Durable Medical Equipment & Medical Supplies 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2012-03-28
1912290925 Kyle Andrew Frick Internal Medicine 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 2011-05-24
1831405422 Amanda N Crishon Audiologist 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 2010-08-20
1831410703 Robert Neal Ingram Registered Nurse 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910 2010-06-15
1316276363 Indianapolis Neurosurgical Group Nurse Practitioner 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 2009-12-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669018669 Dienye Williams Pharmacist 108 North Sr 267, Avon, IN 46123 2019-11-25
1992353817 Debra Blackwell Technician 8198 Montage Ave, Apt 104, Avon, IN 46123 2019-09-04
1932675766 Blake Ponist Occupational Therapist 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 2018-10-19
1396238150 Sarah Sweany Dietitian, Registered Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 2018-06-07
1124516257 Sheree Itza Counselor 6655 E Us Highway 36 Ste 100, Avon, IN 46123 2018-04-24
1255860607 Jonathan Lambert Dentist 110 N Avon Ave B, Avon, IN 46123 2017-06-08
1023546629 10439 E Us Highway 36 Dental, LLC Dentist 10439 E Us Highway 36, Avon, IN 46123 2017-05-25
1902330756 Melissa Wheatley Occupational Therapy Assistant 6294 Forest View Court, Avon, IN 46123 2017-04-19
1932555844 Gal Marcan Family Medicine 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 2016-05-10
1962871301 Annette Joelene Oechsle Health Educator 1820 South County Road 525 East, Avon, IN 46123 2015-09-16
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205993680 Valerie A Ball Otolaryngology 1115 North Ronald Reagan Parkway, Suite 225, Avon, IN 46123-6913 2007-01-03
1255498663 Michael W Myers Otolaryngology 1115 Ronald Reagan Pkwy, Suite 255, Avon, IN 46123-6913 2007-01-03
1376604488 Clement Joseph Mcdonald IIi Otolaryngology 1115 Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6910 2006-12-12
1346246618 Ronald Casey Strahan Otolaryngology 50 Buck Creek Road, Suite 200, Avon, CO 81620 2005-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477182988 Allergy and Audiology Services of Northwest Indiana LLC Otolaryngology 900 Ridge Rd Ste E, Munster, IN 46321-1727 2020-04-06
1881221208 Morgan Sandelski Otolaryngology 2015 Central Ave, Indianapolis, IN 46202-1634 2020-03-25
1922562339 Transcend Anesthesia, PC Otolaryngology 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 2019-01-30
1023523610 Family Ent Specialists, LLC Otolaryngology 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 2017-12-05
1699295956 David Joseph Trout Otolaryngology 816 Lazy Ln, Lafayette, IN 47904-2722 2017-06-27
1437687126 Dhruv Sharma Otolaryngology 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 2017-05-25
1235585878 Alhasan Najib Elghouche Otolaryngology 12860 University Cres, Apt 1a, Carmel, IN 46032-9472 2016-05-13
1093133415 Bruce Jordan Hopkins Otolaryngology 1569 Preston Trl, Carmel, IN 46032-8970 2014-04-02
1861813776 Rachael L Raffle Otolaryngology 1429 N 6th St Fl 3, Terre Haute, IN 47807-1019 2013-12-18
1043658818 Jessica A. Yesensky Otolaryngology 1544 Carrollton Ave, Indianapolis, IN 46202-2717 2013-06-13
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Competitor

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City AVON
Zip Code 46123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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