EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD. (NPI# 1093936395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093936395 |
| Entity Type | Organization |
| Organization Name | EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD. |
| Practice Address |
4325 Ee Rd Suite 205 Columbia IL 62236-3445 |
| Mailing Address |
19 Wolf Creek Dr Swansea IL 62226-2355 |
| Practice Telephone | 6182353687 |
| Practice Fax Number | 6182399492 |
| Mailing Telephone | 6182353687 |
| Mailing Fax Number | 6182399492 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARL W LEE II (SECRETARY) |
| Authorized Official Telephone | 6182353687 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359902 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 1520 9th St, Suite 110, Highland, IL 62249-1677 | 2007-04-26 |
| 1194825174 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-09-22 |
| Street Address |
4325 EE RD SUITE 205 |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1144562356 | Robert Morgan Thomas | Otolaryngology | 2219 Danforth Ct, Columbia, MO 65201-6228 | 2013-03-26 |
| 1972737237 | Jason C Goodwin | Otolaryngology | 1 Hospital Dr # Ma314, Columbia, MO 65212-5276 | 2009-05-14 |
| 1134327067 | Elizabeth Lai | Otolaryngology | 1 Hospital Dr # Ma202f, Columbia, MO 65212-0001 | 2007-07-03 |
| 1821177916 | Midwest Sinus Allergy Specialists, Inc | Otolaryngology | 1701 E Broadway Suite 304, Columbia, MO 65201 | 2006-11-02 |
| 1841306693 | Ketan Shah | Otolaryngology | 1000 Eleven S, Ste 4f, Columbia, IL 62236-1080 | 2006-08-22 |
| 1194755314 | Chad B Gunnlaugsson | Otolaryngology | 1040 Pinnacle Point Dr, Columbia, SC 29223-5735 | 2006-07-04 |
| 1821025529 | Anna L Bouknight | Otolaryngology | 2801 Devine St Ste 101, Columbia, SC 29205-2511 | 2006-06-27 |
| 1669421814 | Shaun C Corbin | Otolaryngology | 927 N James Campbell Blvd, Ste 101, Columbia, TN 38401-6436 | 2006-05-08 |
| Find all providers in COLUMBIA | ||||
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| 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.