MICHAEL A AGOSTINO


Address: 18051 River Road, Suite 104, Noblesville, IN 46062-7093
Phone: 3178447059

MICHAEL A AGOSTINO (NPI# 1164458352) 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) 1164458352
Entity Type Individual
Full Name MICHAEL A AGOSTINO
Credential MD
Practice Address 18051 River Road
Suite 104
Noblesville
IN 46062-7093
Mailing Address 9002 North Meridian Street
Suite 222
Indianapolis
IN 46260-5350
Practice Telephone 3178447059
Practice Fax Number 3178190044
Mailing Telephone 3175734370
Mailing Fax Number 3178190044
Enumeration Date 2006-06-23
Last Update Date 2014-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 01038563 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PIN 000000085510 01
IN DEA BA3933769 01
IN 100361740A 05
IN LICENSE 01038563 01

Office Location

Street Address 18051 RIVER ROAD
SUITE 104
City NOBLESVILLE
State IN
Zip Code 46062-7093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770686735 American Health Network of Indiana, LLC Internal Medicine 18051 River Road, Suite 201, Noblesville, IN 46062 2006-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093335457 Taylor Lynn Ellis Social Worker 1212 Westfield Road, Noblesville, IN 46062 2020-04-25
1902464357 Valerie M Eibling Dentist 17567 River Avenue, Noblesville, IN 46062 2019-05-31
1346752011 Noblesville Dental Associates LLC Dentist 17567 River Ave., Noblesville, IN 46062 2017-11-02
1346643863 Stephen Dale Physical Therapist 5695 Pebble Village Lane, Noblesville, IN 46062 2014-09-29
1124427018 Kristin Marie Moon Nurse Practitioner 865 Westfield Rd., Suite D, Noblesville, IN 46062 2014-08-18
1205171071 Dollia Marie Mickler Physical Therapy Assistant 102 Clarendon Dr Apt 303, Noblesville, IN 46062 2012-12-06
1114117405 Robin I Raub Dentist 19405 Little Chicago Rd, Noblesville, IN 46062 2007-08-01
1346367166 Delayne Marie Lefevre Dentist 5520 Pebble Village Lane, Ste 200, Noblesville, IN 46062 2007-03-25
1932274438 Fve Mw LLC Assisted Living Facility 7235 Riverwalk Way North, Noblesville, IN 46062 2006-11-21
1184853202 Navneet Lather Internal Medicine 17525 River Rd, Noblesville, IN 46062 2009-07-10
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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
1578542049 Samuel A Harmon Otolaryngology 18000 River Ave, Noblesville, IN 46062-8329 2006-01-12
1972040764 Lo Otolaryngology and Facial Pastics Otolaryngology 9660 E 146th St Ste 100, Noblesville, IN 46060-3097 2017-01-31
1073635553 Otolaryngology Associates LLC Otolaryngology 18051 River Ave, Ste 104, Noblesville, IN 46062-7093 2007-04-04
1740347111 Nicole R Klein Otolaryngology 18051 River Ave, Suite 104, Noblesville, IN 46062-7093 2007-01-03
1518928969 David E Wilson Otolaryngology 18000 River Ave, Noblesville, IN 46062-8329 2006-03-28
1689635039 Charlotte Marie Dugan Otolaryngology 18000 River Ave, Noblesville, IN 46062-8329 2006-03-28
1649241183 Matthew Bruns Otolaryngology 18000 River Ave, Noblesville, IN 46062-8329 2006-02-01

Providers in the same taxonomy and state

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
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Competitor

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City NOBLESVILLE
Zip Code 46062

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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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