EAR NOSE AND THROAT SPECIALISTS OF WEST CENTRAL OHIO (NPI# 1316167463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316167463 |
| Entity Type | Organization |
| Organization Name | EAR NOSE AND THROAT SPECIALISTS OF WEST CENTRAL OHIO |
| Practice Address |
770 West High St Suite 480 Lima OH 45801 |
| Practice Telephone | 4192279500 |
| Practice Fax Number | 4192279503 |
| Mailing Telephone | 4192279500 |
| Mailing Fax Number | 4192279503 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RANDALL ELLIOTT DALTON (PHYSICIAN OWNER) |
| Authorized Official Telephone | 4192279500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35083245 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE NUMBER | 35083245 | 01 |
| DEA NUMBER | AD9452448 | 01 | |
| OH | 2445705 | 05 |
| Street Address |
770 WEST HIGH ST SUITE 480 |
| City | LIMA |
| State | OH |
| Zip Code | 45801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| 1902936826 | Gastro-intestinal Associates, Inc | Internal Medicine | 520 Lincoln, Ada, OH 45801 | 2007-03-07 |
| Find all providers in zip 45801 | ||||
| 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 |
|---|---|---|---|---|
| 1578872818 | Youn Seok Seo | Otolaryngology | 4840 Tillamook Trl, Lima, OH 45805-4119 | 2010-10-05 |
| 1275824724 | Lima Memorial Professional Corporation | Otolaryngology | 1005 Bellefontaine Ave Ste 125, Lima, OH 45804-2893 | 2011-05-02 |
| 1619143708 | Whitney Anne Pafford | Otolaryngology | 770 W High St, Suite 460, Lima, OH 45801-3990 | 2008-05-07 |
| 1033381504 | Lima Ear Nose and Throat Specialists, LLC | Otolaryngology | 770 W High St, Suite 460, Lima, OH 45801-3990 | 2008-03-25 |
| 1114104346 | St. Rita's Medical Center | Otolaryngology | 770 W High St, Suite 480, Lima, OH 45801-3990 | 2008-01-30 |
| 1336323609 | Sophia A. Omoro | Otolaryngology | 1005 Bellefontaine Ave Ste 125, Lima, OH 45804-2893 | 2007-12-21 |
| 1396839890 | Charles R. Potter | Otolaryngology | 770 W High St, Suite 460, Lima, OH 45801-3990 | 2006-10-02 |
| 1306890181 | Susan J. Rossi | Otolaryngology | 770 W High St, Suite 460, Lima, OH 45801-3990 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1205319423 | Fadi Abbass Md | Otolaryngology | 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 | 2018-09-13 |
| 1033616107 | Dr. Scott W. Blumer LLC | Otolaryngology | 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 | 2018-04-06 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1841684222 | Hayley Lynn Born | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2015-03-24 |
| 1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| 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.