EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC (NPI# 1225164007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225164007 |
| Entity Type | Organization |
| Organization Name | EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC |
| Practice Address |
558 S Trimble Rd Mansfield OH 44906-3418 |
| Practice Telephone | 4195229952 |
| Practice Fax Number | 4195227050 |
| Mailing Telephone | 4195229952 |
| Mailing Fax Number | 4195227050 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | MICHAEL J VIETTI (PRESIDENT) |
| Authorized Official Telephone | 4195229952 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
35069405 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2123044 | 05 | |
| OH | RR MEDICARE | CH0644 | 01 |
| Street Address |
558 S TRIMBLE RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240672 | Jennifer T Minton | Nurse Practitioner | 558 S Trimble Rd, Mansfield, OH 44906-3418 | 2006-01-24 |
| 1659527828 | Rebecca D Wilson | Audiologist-Hearing Aid Fitter | 558 S Trimble Rd, Mansfield, OH 44906-3418 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1689227811 | Spreading Activation Technologies, LLC | Clinic/Center | 5412 Courseview Dr Ste 210, Mason, OH 45040-2355 | 2019-07-17 |
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| 1184283962 | Vitality Health LLC | Clinic/Center | 2211 Crocker Rd Ste 170, Westlake, OH 44145-7603 | 2019-06-06 |
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| Find all providers with the same taxonomy | ||||
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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.