BLOOMINGTON NORMAL EAR NOSE THROAT LTD


Address: 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904
Phone: 3066623277

BLOOMINGTON NORMAL EAR NOSE THROAT LTD (NPI# 1114038528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114038528
Entity Type Organization
Organization Name BLOOMINGTON NORMAL EAR NOSE THROAT LTD
Practice Address 1404 Eastland Dr Ste 209
Bloomington
IL 61701-7904
Practice Telephone 3066623277
Practice Fax Number 3096630845
Mailing Telephone 3066623277
Mailing Fax Number 3096630845
Enumeration Date 2006-08-31
Last Update Date 2008-04-20
Authorized Official Name ANN KLIMKEWICZ (OFFICE MANAGER)
Authorized Official Telephone 3096623277
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians
N 231H00000X Audiologist Speech, Language and Hearing Service Providers
N 237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS/BLUE SHIELD 05700224 01
BC/BS AUDIOLOGY 05732023 01
IL AUDIOLOGY 330606647-001 01

Office Location

Street Address 1404 EASTLAND DR STE 209
City BLOOMINGTON
State IL
Zip Code 61701-7904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326050881 Thomas C Ocheltree Otolaryngology 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 2006-08-13
1992813174 Robert T Russell Otolaryngology 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 2006-08-28
1083626485 Lisa Baer Audiologist 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 2006-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
Find all providers in zip 61701

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437587839 Susan Emmerson Otolaryngology 1303 E Washington St, Bloomington, IL 61701-4228 2013-10-22
1689769929 John Hooton Seward Otolaryngology 3511 Saddlebrook Ct, Bloomington, IN 47401-8549 2006-10-03
1326050881 Thomas C Ocheltree Otolaryngology 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 2006-08-13
1063442457 Finn R Amble Otolaryngology 3801 General Electric Rd Ste 4, Bloomington, IL 61704 2006-07-03
1306816665 Bloomington Ent PC Otolaryngology 1791 W 3rd St, Bloomington, IN 47404-5029 2006-01-26
1497014740 Robert Zhibo Yang Otolaryngology 7920 Cedar Ave S, Bloomington, MN 55425-1207 2012-05-07
1487881058 Osf Multispecialty Group - Eastern Region, LLC Otolaryngology 1701 E College Ave, Bloomington, IL 61704-2101 2009-06-22
1447388772 Dennis Lee Md Ltd Otolaryngology 107 N Regency Dr, Bloomington, IL 61701-3515 2007-02-28
1699854745 Ent Associates of Southern Indiana, P.C. Otolaryngology 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 2006-11-02
1992813174 Robert T Russell Otolaryngology 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 2006-08-28
Find all providers in BLOOMINGTON

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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