OTOLARYNGOLOGY ASSOCIATES LLC (NPI# 1245352822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245352822 |
| Entity Type | Organization |
| Organization Name | OTOLARYNGOLOGY ASSOCIATES LLC |
| Practice Address |
1801 Senate Blvd Ste 548 Indianapolis IN 46202-1253 |
| Mailing Address |
9002 N Meridian St Ste 222 Indianapolis IN 46260-5350 |
| Practice Telephone | 3178447059 |
| Practice Fax Number | 3175734352 |
| Mailing Telephone | 3175734370 |
| Mailing Fax Number | 3178190044 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | THOMAS H FAIRCHILD (PRESIDENT) |
| Authorized Official Telephone | 3178447059 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100057100G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639291271 | Otolaryngology Associates LLC | Otolaryngology | 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 | 2007-04-04 |
| 1023130333 | Otolaryngology Associates LLC | Otolaryngology | 1115 Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6913 | 2007-04-06 |
| 1710009014 | Otolaryngology Associates LLC | Otolaryngology | 150 W Washington St, Shelbyville, IN 46176-1236 | 2007-04-06 |
| 1326160631 | Otolaryngology Associates LLC | Otolaryngology | 5255 E Stop 11 Rd, Ste 400, Indianapolis, IN 46237-6341 | 2007-04-06 |
| 1841312469 | Otolaryngology Associates LLC | Otolaryngology | 6640 Parkdale Pl, Ste O, Indianapolis, IN 46254-5656 | 2007-04-04 |
| 1134241706 | Otolaryngology Associates LLC | Otolaryngology | 2312 S Dixon Rd, Ste 200, Kokomo, IN 46902-6423 | 2007-04-04 |
| 1780706325 | Otolaryngology Associates LLC | Otolaryngology | 8040 Clearvista Pkwy, Ste 350, Indianapolis, IN 46256-4673 | 2007-04-04 |
| 1598887143 | Otolaryngology Associates LLC | Otolaryngology | 1101 W Jefferson St, Ste S, Franklin, IN 46131-2728 | 2007-04-04 |
| 1073635553 | Otolaryngology Associates LLC | Otolaryngology | 18051 River Ave, Ste 104, Noblesville, IN 46062-7093 | 2007-04-04 |
| 1861514341 | Otolaryngology Associates LLC | Otolaryngology | 11725 N Illinois St, Ste 445, Carmel, IN 46032-3010 | 2007-04-04 |
| Street Address |
1801 SENATE BLVD STE 548 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897236 | Lawrence J Bortenschlager | Internal Medicine | 1801 Senate Blvd, Suite 230, Indianapolis, IN 46202-1252 | 2005-08-09 |
| 1356983274 | Mark Garrett | Physician Assistant | 1801 Senate Blvd, Indianapolis, IN 46202-1228 | 2019-10-11 |
| 1982267902 | Sara Omar Kanoun | Student in an Organized Health Care Education/Training Program | 1801 Senate Blvd, Indianapolis, IN 46202-1228 | 2019-04-16 |
| 1043426737 | Angela M Lively | Physician Assistant | 1801 Senate Blvd, 400, Indianapolis, IN 46202-1228 | 2007-05-16 |
| 1750594206 | Steve S. Shin | Orthopaedic Surgery | 1801 Senate Blvd, #200, Indianapolis, IN 46202-1228 | 2007-05-08 |
| 1285757856 | Christopher Mark Bohyer | Dermatology | 1801 Senate Blvd, 745, Indianapolis, IN 46202-1228 | 2007-04-09 |
| 1336212042 | Jill Alison Plichta | Internal Medicine | 1801 Senate Blvd, Suite 355, Indianapolis, IN 46202-1252 | 2006-11-17 |
| 1770669731 | Rennett Delois Smith | Registered Nurse | 1801 Senate Blvd, Mpc 2 Suite 300, Indianapolis, IN 46202-1228 | 2006-10-31 |
| 1093896078 | Ryan L Kraner | Pharmacist | 1801 Senate Blvd, Room 105, Indianapolis, IN 46202-1228 | 2006-10-18 |
| 1033209515 | Anjan Kumar Sinha | Internal Medicine | 1801 Senate Blvd, Krannert Institute of Cardiology, Indianapolis, IN 46202-1228 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| 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 |
|---|---|---|---|---|
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| 1952689085 | Swapna A Eisinger | Otolaryngology | 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237-6341 | 2011-07-22 |
| 1831357722 | Kelly Kathryn Hiatt | Otolaryngology | 1400 N Ritter Ave Ste 230, Indianapolis, IN 46219-3046 | 2008-05-28 |
| 1639291271 | Otolaryngology Associates LLC | Otolaryngology | 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 | 2007-04-04 |
| 1851427900 | Michael Geoffrey Moore | Otolaryngology | 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5149 | 2007-02-25 |
| 1740347194 | Thomas H Fairchild | Otolaryngology | 5255 East Stop 11 Road, Suite 400, Indianapolis, IN 46237-6341 | 2007-01-03 |
| 1427015833 | Dean J Trigg | Otolaryngology | 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260-2053 | 2006-04-28 |
| 1386138535 | Timothy J Shin | Otolaryngology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2018-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.