FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC (NPI# 1043404296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043404296 |
| Entity Type | Organization |
| Organization Name | FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC |
| Practice Address |
2220 W Alto Rd Kokomo IN 46902-4840 |
| Practice Telephone | 7654552577 |
| Mailing Telephone | 7654552577 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | DR. BANIPAL HOVHANESSIAN (DR./OWNER) |
| Authorized Official Telephone | 7654552577 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS | 000000087718 | 01 |
| Street Address |
2220 W ALTO RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639120371 | Banipal Hovhanessian | Specialist | 2220 W Alto Rd, Kokomo, IN 46902-4840 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| 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 |
| 1588611537 | Giffin Ent LLC | Otolaryngology | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-05-27 |
| 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 |
| 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.