ADVANCED OTOLARYNGOLOGY & ALLERGY LLC (NPI# 1992082226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992082226 |
| Entity Type | Organization |
| Organization Name | ADVANCED OTOLARYNGOLOGY & ALLERGY LLC |
| Other Organization Name | ADVANCED ENT AND ALLERGY |
| Practice Address |
864 Broadway Ste 101 Hanover PA 17331-1501 |
| Practice Telephone | 7176322221 |
| Practice Fax Number | 7179657519 |
| Mailing Telephone | 7176322221 |
| Mailing Fax Number | 7179657519 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | LORI EICHELBERGER (INTERIM OFFICE MANAGER) |
| Authorized Official Telephone | 7176322221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | MD432200 | PA | Allopathic & Osteopathic Physicians |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 332S00000X | Hearing Aid Equipment | Suppliers | ||
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD432200 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH | 11782821 | 01 |
| PA | LICENSE | MD432200 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced ENT and Allergy | Doing Business As Name - Organization |
| Target Health Urgent Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457705717 | Advanced Otolaryngology & Allergy LLC | Clinic/Center | 864 Broadway Ste 101, Hanover, PA 17331-1501 | 2016-04-22 |
| Street Address |
864 BROADWAY STE 101 |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194928069 | Zaher Srour | Otolaryngology | 864 Broadway Ste 101, Hanover, PA 17331 | 2007-06-07 |
| 1457705717 | Advanced Otolaryngology & Allergy LLC | Clinic/Center | 864 Broadway Ste 101, Hanover, PA 17331-1501 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861047193 | Bfps PC | Otolaryngology | 2 Town Pl Ste 110, Bryn Mawr, PA 19010-3420 | 2019-08-04 |
| 1568834364 | Zaid Alshaalan | Otolaryngology | 1025 Walnut St Ste 801, Philadelphia, PA 19107-5001 | 2015-10-20 |
| 1063703239 | Maury Hoberman | Otolaryngology | 931 Bridle Ln, West Chester, PA 19382-2112 | 2011-04-22 |
| 1720388648 | Edward Gene Boyer | Otolaryngology | 175 Lohr Street, #412, Hooversville, PA 15936 | 2010-10-26 |
| 1659335966 | Marlowe Zwillenberg & Ghaderi LLC | Otolaryngology | 100 W Sproul Rd Ste 220, Springfield, PA 19064-2033 | 2006-04-13 |
| 1497119895 | Garrett D Locketz | Otolaryngology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-04-12 |
| 1770964488 | Andrew William Agnew | Otolaryngology | 5515 Peach St, Erie, PA 16509-2603 | 2015-06-18 |
| 1356738587 | Joel Stanek | Otolaryngology | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2015-04-26 |
| 1225426331 | University of Penn-medical Group | Otolaryngology | 3400 Spruce St, 5 Silverstein Building, Philadelphia, PA 19104-4238 | 2014-12-26 |
| 1962803031 | Suburban Multispecialty Limited, LLC | Otolaryngology | 1 Belmont Avenue, Suite 416, Bala Cynwyd, PA 19004-1607 | 2014-09-09 |
| 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.