LAUREL ENT & ALLERGY PC (NPI# 1649387515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649387515 |
| Entity Type | Organization |
| Organization Name | LAUREL ENT & ALLERGY PC |
| Other Organization Name | SAM MATHUR, MD, PC |
| Practice Address |
850 Hospital Rd Suite 2100 Indiana PA 15701-3662 |
| Practice Telephone | 7243494360 |
| Practice Fax Number | 7244631847 |
| Mailing Telephone | 7243494360 |
| Mailing Fax Number | 7244631847 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. SUMEET MATHUR (PHYSICIAN/PRESIDENT) |
| Authorized Official Telephone | 7243494360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD064804L | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sam Mathur, MD, PC | Former Legal Business Name - Organization |
| Street Address |
850 HOSPITAL RD SUITE 2100 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981337 | Farooq I Khan | Psychiatry & Neurology | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3662 | 2005-06-10 |
| 1689096091 | Antoinette Furman-steinbring | Nurse Practitioner | 850 Hospital Rd, Suite 1300, Indiana, PA 15701-3662 | 2014-01-21 |
| 1013350057 | Gary Ross Eggler | Dentist | 850 Hospital Rd, Suite 1100, Indiana, PA 15701-3662 | 2013-04-09 |
| 1427388859 | Derek R. Hatfield | Psychologist | 850 Hospital Rd, Suite 3000, Indiana, PA 15701-3662 | 2010-01-07 |
| 1295906154 | Neuropsychiatric Associates Inc., PC | Psychologist | 850 Hospital Rd, 2200 Medical Arts Building, Indiana, PA 15701-3662 | 2008-03-19 |
| 1144304031 | Shawna M. Marshall | Physician Assistant | 850 Hospital Rd, Suite 2300, Indiana, PA 15701-3662 | 2006-10-25 |
| 1750489845 | Sarah Nm Gatumu | Psychiatry & Neurology | 850 Hospital Rd, Suite 2200, Indiana, PA 14701 | 2006-09-20 |
| 1295849859 | Stacy Lynne Moran | Physician Assistant | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3662 | 2006-08-19 |
| 1801804240 | Neuropsychiatric Associates Inc, PC | Psychologist | 850 Hospital Rd, Medical Arts Building, Suite 2200, Indiana, PA 15701-3662 | 2006-08-03 |
| 1013934058 | Gopala Amarnath Ramineni | Internal Medicine | 850 Hospital Rd, Suite 1300, Indiana, PA 15701-3662 | 2006-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| 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 |
|---|---|---|---|---|
| 1114362092 | Robert D Strauss | Otolaryngology | 4734 Lynnfield Ln, South Gate, Allentown, PA 18104-9091 | 2013-05-06 |
| 1275777047 | Charles Richard Scipione | Otolaryngology | 107 Mine Rd, Malvern, PA 19355-9656 | 2009-04-23 |
| 1194928069 | Zaher Srour | Otolaryngology | 864 Broadway Ste 101, Hanover, PA 17331 | 2007-06-07 |
| 1841378098 | Mathur Health Care | Otolaryngology | 2324 Portage St, Summerhill, PA 15958-3406 | 2006-11-02 |
| 1770524175 | Vernose & Mcgrath Otolaryngology Assoc. | Otolaryngology | 1841 South Broad Street, Philadelphia, PA 19148 | 2006-06-09 |
| 1275590309 | Anthony R Ulizio | Otolaryngology | 310 Rodi Rd, Ste 200, Pittsburgh, PA 15235-3318 | 2006-05-01 |
| 1114912177 | Bucks Ent Associates, P.C. | Otolaryngology | 3 Cornerstone Dr, Suite 703, Langhorne, PA 19047-1320 | 2005-09-15 |
| 1649265752 | Benjamin Steven Chack | Otolaryngology | 3 Cornerstone Drive, Suite 703, Langhorne, PA 19047 | 2005-09-14 |
| 1194723163 | Lee Dickinson Rowe | Otolaryngology | 2340 E Allegheny Ave, Phila, PA 19134-4433 | 2005-07-13 |
| 1730669425 | Christopher Mkl Yao | Otolaryngology | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2018-08-21 |
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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.