GIFFIN ENT LLC (NPI# 1588611537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588611537 |
| Entity Type | Organization |
| Organization Name | GIFFIN ENT LLC |
| Practice Address |
2516 E Dupont Rd Fort Wayne IN 46825-1608 |
| Mailing Address |
15450 Bridgewater Club Blvd Carmel IN 46033-8108 |
| Practice Telephone | 2606255071 |
| Practice Fax Number | 2606255072 |
| Mailing Telephone | 2606255071 |
| Mailing Fax Number | 2606255072 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | CHARLES S GIFFIN (OWNER) |
| Authorized Official Telephone | 2606255071 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
2516 E DUPONT RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150404 | Allied Physicians Inc., D/b/a Tri-state Physical Medicine | Physical Medicine & Rehabilitation | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2005-10-31 |
| 1871154401 | Kimberly Million | Nurse Practitioner | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2019-06-25 |
| 1851813018 | Andrea Danielle Whitaker | Pharmacist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2017-07-10 |
| 1013465152 | Nicole M Sanderson | Nurse Practitioner | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2016-09-19 |
| 1679934707 | Julea B. Diffenderfer | Dietitian, Registered | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2016-03-17 |
| 1073943387 | Kara Reyes | Physical Therapist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2013-11-22 |
| 1659669513 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2011-07-13 |
| 1871738930 | Tiffany J. Bauman | Speech-Language Pathologist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2008-12-03 |
| 1598808156 | Kristina R Leavell | Physician Assistant | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2007-02-14 |
| 1629089453 | Jessica L. Ottenweller-butcher | Family Medicine | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420296 | Enayat K Shirazi | Otolaryngology | 3996 Quail Hill Dr, Richmond, IN 47374-7826 | 2012-01-25 |
| 1376553099 | Steven M Waters | Otolaryngology | 1913 Chester Blvd, Richmond, IN 47374-1212 | 2006-08-08 |
| 1508814740 | Robert Allen Youkilis | Otolaryngology | 12065 Old Meridian, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1104120104 | Zormeier Cosmetic Surgery and Longevity Center, LLC | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2011-01-05 |
| 1184756074 | W Gregory Chernoff Md PC | Otolaryngology | 9002 N Meridian St, Suite 205, Indianapolis, IN 46260-5381 | 2007-03-09 |
| 1326097619 | Richard Moss | Otolaryngology | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2006-05-06 |
| 1508814732 | Robert Wayne Stephens | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1396703203 | Scott Andrew Hackett | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-02 |
| 1669445722 | Edward P. Daetwyler | Otolaryngology | 350 W Columbia St, Suite 310, Evansville, IN 47710-1782 | 2006-02-09 |
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on GIFFIN ENT LLC.
| 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.