ENT ASSOCIATES OF SOUTHERN INDIANA, P.C. (NPI# 1619048402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619048402 |
| Entity Type | Organization |
| Organization Name | ENT ASSOCIATES OF SOUTHERN INDIANA, P.C. |
| Practice Address |
2129 16th St Bedford IN 47421-3003 |
| Mailing Address |
2920 Mcintyre Dr Ste 350 Bloomington IN 47403-4221 |
| Practice Telephone | 8122770788 |
| Practice Fax Number | 8123392934 |
| Mailing Telephone | 8123322226 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE LYNN WEST (OFFICE MANAGER) |
| Authorized Official Telephone | 8123322226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 50000616A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295806081 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | Rr 1 Box 556, Linton, IN 47441-9587 | 2006-11-13 |
| 1477744845 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2007-08-09 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| Street Address |
2129 16TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396810032 | James R Edwards | Chiropractor | 2129 16th St, Bedford, IN 47421-3003 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1629368873 | Yvonne Tsui Lee | Otolaryngology | 1615 Hospital Pkwy Ste 210, Bedford, TX 76022-5936 | 2011-04-08 |
| 1417279308 | Charles R. Chung, M.d., P.a. | Otolaryngology | 1850 Central Dr. #b, Bedford, TX 76021-5890 | 2010-02-19 |
| 1184706228 | Prasoon K Samaddar | Otolaryngology | 1706 24th St, Bedford, IN 47421-4708 | 2006-10-19 |
| 1821125790 | University Primary Care Practices Inc | Otolaryngology | 88 Center Rd Ste 230, Bedford, OH 44146-2708 | 2007-02-27 |
| 1639283914 | Fadi Abbass | Otolaryngology | 88 Center Rd Ste 230, Bedford, OH 44146-2708 | 2006-08-17 |
| 1023053980 | Hassan Abbass | Otolaryngology | 88 Center Rd Ste 230, Bedford, OH 44146-2708 | 2006-06-17 |
| 1306890298 | Charles R Chung | Otolaryngology | 1850 Central Dr, #b, Bedford, TX 76021-5821 | 2006-05-22 |
| 1205829959 | Timothy F Ragsdale | Otolaryngology | 1615 Hospital Pkwy, Suite 210, Bedford, TX 76022-5934 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182988 | Allergy and Audiology Services of Northwest Indiana LLC | Otolaryngology | 900 Ridge Rd Ste E, Munster, IN 46321-1727 | 2020-04-06 |
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1922562339 | Transcend Anesthesia, PC | Otolaryngology | 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 | 2019-01-30 |
| 1023523610 | Family Ent Specialists, LLC | Otolaryngology | 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 | 2017-12-05 |
| 1699295956 | David Joseph Trout | Otolaryngology | 816 Lazy Ln, Lafayette, IN 47904-2722 | 2017-06-27 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1235585878 | Alhasan Najib Elghouche | Otolaryngology | 12860 University Cres, Apt 1a, Carmel, IN 46032-9472 | 2016-05-13 |
| 1093133415 | Bruce Jordan Hopkins | Otolaryngology | 1569 Preston Trl, Carmel, IN 46032-8970 | 2014-04-02 |
| 1861813776 | Rachael L Raffle | Otolaryngology | 1429 N 6th St Fl 3, Terre Haute, IN 47807-1019 | 2013-12-18 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| 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.