HERITAGE EAR , NOSE & THROAT, INC. (NPI# 1093910226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093910226 |
| Entity Type | Organization |
| Organization Name | HERITAGE EAR , NOSE & THROAT, INC. |
| Practice Address |
1651 Thornapple Cir Valparaiso IN 46385-5496 |
| Mailing Address |
Po Box 261 Valparaiso IN 46384-0261 |
| Practice Telephone | 2194629937 |
| Mailing Telephone | 2194760352 |
| Mailing Fax Number | 2195310859 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MR. HAROON NAZ (CEO) |
| Authorized Official Telephone | 2197562100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100209930A | 05 | |
| IN | ANTHEM BC/BS | 000000091423 | 01 |
| Street Address |
1651 THORNAPPLE CIR |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46385-5496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
| 1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
| 1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
| 1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
| 1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
| 1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
| 1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
| 1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| Find all providers in zip 46385 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346414976 | Lakeshore Bone & Joint Institute, PC | Specialist | 2501 Cumberland Dr, Valparaiso, IN 46383-2503 | 2008-04-15 |
| 1760697502 | Dagny Laur | Specialist | 201 East Morthland Drive (us Rt 30), Suite 2, Valparaiso, IN 46350 | 2007-05-14 |
| 1619010626 | Applegarth Dermatology PC | Specialist | 1861 S Sturdy Rd, Valparaiso, IN 46383 | 2007-02-15 |
| 1083625875 | Karin F Velander | Specialist | 505 Silhavy Rd Ste 800, Valparaiso, IN 46383-4410 | 2006-08-10 |
| 1235586660 | Randi Beth Light | Specialist | 2005 Valparaiso St, Suite 209, Valparaiso, IN 46383-3329 | 2016-05-16 |
| 1740454438 | Lakeshore Bone & Joint Institute, Inc | Specialist | 85 E Us Highway 6, Valparaiso, IN 46383-8917 | 2008-04-15 |
| 1255549630 | Dennis Lim Bautista | Specialist | 1000 Elizabeth St, Valparaiso, IN 46383-4326 | 2007-05-18 |
| 1871713578 | The Kobak Center for Women's Health,inc. | Specialist | 1101 Glendale Blvd, Suite 108, Valparaiso, IN 46383-3767 | 2007-04-26 |
| 1942368519 | Associated Pediatricians, LLC | Specialist | 1101 Glendale Blvd, Suite 101, Valparaiso, IN 46383-3767 | 2006-12-05 |
| 1104998277 | Duneland Dermatology | Specialist | 1700 Pointe Dr, Suite 302, Valparaiso, IN 46383-7056 | 2006-11-14 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46385 |
Please comment or provide details below to improve the information on HERITAGE EAR , NOSE & THROAT, INC..
| 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.