ENT CENTRAL LLC (NPI# 1316225618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316225618 |
| Entity Type | Organization |
| Organization Name | ENT CENTRAL LLC |
| Practice Address |
770 Balgreen Dr Suite 209 Mansfield OH 44906-4106 |
| Practice Telephone | 4197565500 |
| Practice Fax Number | 4197565502 |
| Mailing Telephone | 4197565500 |
| Mailing Fax Number | 4197565502 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MYKOLA O PRYKHODKO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4197565500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35.097400 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
770 BALGREEN DR SUITE 209 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099615 | Christ John Ticoras | Dermatology | 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106 | 2005-08-03 |
| 1124478425 | Jeffrey M. Walthour | Pharmacist | 770 Balgreen Dr, Suite 104, Mansfield, OH 44906-4106 | 2016-06-16 |
| 1396147831 | Kristyn Livorno | Audiologist | 770 Balgreen Dr, Ste. 209, Mansfield, OH 44906-4106 | 2014-09-16 |
| 1558609990 | Third Street Community Clinic, Inc | Obstetrics & Gynecology | 770 Balgreen Dr, Mansfield, OH 44906-4106 | 2013-01-18 |
| 1093085466 | William Scott Ballinger,m.d. | Internal Medicine | 770 Balgreen Dr, Suite 203, Mansfield, OH 44906-4106 | 2012-01-03 |
| 1023306263 | Lab One of Ohio Inc | Clinical Medical Laboratory | 770 Balgreen Dr, Mansfield, OH 44906-4106 | 2011-07-20 |
| 1093984767 | Walter G. Bodjanac, Do, LLC | Plastic Surgery | 770 Balgreen Dr, Suite 109, Mansfield, OH 44906-4106 | 2008-02-26 |
| 1679766034 | Mykola O. Prykhodko | Otolaryngology | 770 Balgreen Dr, Suite 209, Mansfield, OH 44906-4106 | 2007-08-20 |
| 1003030883 | Midwestern Cardiac Surgery, Inc. | Specialist | 770 Balgreen Dr, Suite 107, Mansfield, OH 44906-4106 | 2007-04-12 |
| 1306958723 | Cornerstone Ob-gyn, Inc | Obstetrics & Gynecology | 770 Balgreen Dr, Suite 207, Mansfield, OH 44906-4106 | 2006-08-31 |
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| 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 | 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 |
|---|---|---|---|---|
| 1770979395 | Opeoluwa Daniyan | Otolaryngology | 1105 Alexis Ct Ste 101, Mansfield, TX 76063-3344 | 2015-04-09 |
| 1679766034 | Mykola O. Prykhodko | Otolaryngology | 770 Balgreen Dr, Suite 209, Mansfield, OH 44906-4106 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1205319423 | Fadi Abbass Md | Otolaryngology | 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 | 2018-09-13 |
| 1033616107 | Dr. Scott W. Blumer LLC | Otolaryngology | 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 | 2018-04-06 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1841684222 | Hayley Lynn Born | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2015-03-24 |
| 1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
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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.