ENT-HEAD & NECK & FACIAL SURGERY PC (NPI# 1922153709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922153709 |
| Entity Type | Organization |
| Organization Name | ENT-HEAD & NECK & FACIAL SURGERY PC |
| Practice Address |
1391 N Baldwin Ave Marion IN 46952-1913 |
| Practice Telephone | 7656717741 |
| Practice Fax Number | 7656514272 |
| Mailing Telephone | 7656717741 |
| Mailing Fax Number | 7656514272 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. BERT RICHARD GOLDBURG (PRESIDENT) |
| Authorized Official Telephone | 7656717741 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
1391 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467443366 | Allied Physicians Inc., D/b/a Tri-state Physical Medicine | Physical Medicine & Rehabilitation | 1391 N Baldwin Ave, Highway 9, Marion, IN 46952-1913 | 2005-10-31 |
| 1467715094 | Kristan L Higginbotham | Nurse Practitioner | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2012-06-19 |
| 1912219270 | Parkview Health System Inc | Durable Medical Equipment & Medical Supplies | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2010-07-02 |
| 1730128018 | Marion Family Practice LLC | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-06-05 |
| 1447220900 | James M Orrell | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-01-25 |
| 1093785552 | Mark A Westfall | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-01-25 |
| 1992775456 | Calvin Russell | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-01-25 |
| 1518937697 | Jeffrey W. Bragg | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| 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 |
|---|---|---|---|---|
| 1013967371 | Antonio E Collazo | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2006-05-10 |
| 1679556690 | Allied Physicians Inc., D/b/a Ear, Nose & Throat Specialists | Otolaryngology | 711 N River Dr, Marion, IN 46952-2646 | 2005-11-23 |
| 1851394522 | Michael K Delaney | Otolaryngology | 3331 W Deyoung St, Ste 208, Marion, IL 62959-5897 | 2005-05-24 |
| 1346515418 | David G Bailey Md,inc | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2012-03-21 |
| 1811289580 | Blue Ridge Medical Management Corporation | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1972602985 | David G Bailey | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2006-09-22 |
| 1245251099 | Smyth County Community Hospital | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2006-07-21 |
| 1306897285 | Edgar Frank | Otolaryngology | 1040 Delaware Ave, Marion, OH 43302-6416 | 2006-05-15 |
| 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.