LOCK HAVEN EAR NOSE & THROAT PC (NPI# 1346396363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346396363 |
| Entity Type | Organization |
| Organization Name | LOCK HAVEN EAR NOSE & THROAT PC |
| Practice Address |
401 High Street Lock Haven PA 17745-0117 |
| Mailing Address |
Po Box 117 401 High Street Lock Haven PA 17745-0117 |
| Practice Telephone | 5707486777 |
| Practice Fax Number | 5707480110 |
| Mailing Telephone | 5707486777 |
| Mailing Fax Number | 5707480110 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | DR. CHARLES KENNETH FOULSHAM II (PRESIDENT) |
| Authorized Official Telephone | 5707486777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD026474E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS BLUE SHIELD | 058467 | 01 |
| PA | GEISINGER HEALTH PLAN | 186393205 | 01 |
| PA | 001030532 | 05 | |
| PA | PENNSYLVANIA BLUE SHIELD | 1943384 | 01 |
| Street Address |
401 HIGH STREET |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745-0117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972669612 | Charles Kenneth Foulsham II | Otolaryngology | 401 High Street, Lock Haven, PA 11774-0117 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| 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 |
|---|---|---|---|---|
| 1972669612 | Charles Kenneth Foulsham II | Otolaryngology | 401 High Street, Lock Haven, PA 11774-0117 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043877319 | Health Services of Clarion, Inc. | Otolaryngology | 30 Pinnacle Dr Ste 301, Clarion, PA 16214-3800 | 2019-05-22 |
| 1134680747 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | Riddle Mem. Hosp.- Outpt. Pav., 1098 W. Baltimore Pk. Ste 3406, Media, PA 19063-5139 | 2019-03-27 |
| 1619437654 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 | 2019-03-25 |
| 1659844264 | David C Hughes | Otolaryngology | 1047 Lilac St, Indiana, PA 15701-2459 | 2019-01-07 |
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1710409594 | Philippe Lavigne | Otolaryngology | 200 Lothrop St Ste 300, Pittsburgh, PA 15213-2536 | 2017-07-12 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1417313255 | Robert Guelcher | Otolaryngology | 521 Montmarc Blvd, Erie, PA 16504-2611 | 2016-01-09 |
| 1689057804 | Rui Jun Lin | Otolaryngology | 2533b Wharton St, Pittsburgh, PA 15203-5103 | 2015-07-07 |
| 1861870511 | Giuseppe V Staltari | Otolaryngology | 203 Lothrup Street, Eye and Ear Building, Suite 500, Pittsburgh, PA 15213-2536 | 2015-05-14 |
| Find all providers with the same taxonomy | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
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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.