LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC (NPI# 1316440530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316440530 |
Entity Type | Organization |
Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
Other Organization Name | MEMORIAL ENT ASSOCIATES |
Practice Address |
721 W 13th St Ste 325 Jasper IN 47546-1857 |
Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
Practice Telephone | 8129965575 |
Practice Fax Number | 8129965580 |
Mailing Telephone | 8129968584 |
Mailing Fax Number | 8129968497 |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-03-14 |
Authorized Official Name | EDWARD KYLE BENNETT (PRESIDENT & CEO) |
Authorized Official Telephone | 8129960507 |
Is Organization Subpart | Y |
Parent Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Memorial ENT Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
1306323597 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 966 Bartley Street, Jasper, IN 47546-2641 | 2018-07-20 |
1962857813 | Little Company of Mary Hospital of Indiana Inc | Nurse Practitioner | 3644 E County Road 1600 N, Lincoln City, IN 47552-9662 | 2016-04-28 |
1730420829 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 5066 N 900 E, Montgomery, IN 47558-5790 | 2013-03-14 |
1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
1972877280 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 6402 E Industrial Lane, Leavenworth, IN 47137-8316 | 2012-03-05 |
1881843522 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 522 South Maple Street, French Lick, IN 47432 | 2008-09-18 |
1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
Street Address |
721 W 13TH ST STE 325 |
City | JASPER |
State | IN |
Zip Code | 47546-1857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720425192 | David Ryan Phillips | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2013-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
Find all providers in zip 47546 |
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 |
---|---|---|---|---|
1720425192 | David Ryan Phillips | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2013-05-26 |
1245435429 | Lawrence Lee Robinson Jr. | Otolaryngology | 80a Interstate South Dr, Jasper, GA 30143-6226 | 2007-06-18 |
1881784791 | Robert A Ehrhard | Otolaryngology | 251 S Truman Rd, Jasper, IN 47546-9768 | 2006-10-13 |
1265865232 | Ear, Nose, Throat, and Allergy Specialists | Otolaryngology | 80a Interstate South Dr, Jasper, GA 30143-6226 | 2013-08-14 |
1093919086 | Robert A Ehrhard, Mdin, PC | Otolaryngology | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2007-06-13 |
1811190804 | Angela Cato Blount | Otolaryngology | 3400 Highway 78 E, Suite 205, Jasper, AL 35501-8950 | 2007-06-07 |
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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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.