ORL PC


Address: 800 Broadway, Ste 207, Fort Wayne, IN 46802-2149
Phone: 2604222386

ORL PC (NPI# 1508960774) 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) 1508960774
Entity Type Organization
Organization Name ORL PC
Practice Address 800 Broadway
Ste 207
Fort Wayne
IN 46802-2149
Practice Telephone 2604222386
Practice Fax Number 2604223985
Mailing Telephone 2604222386
Mailing Fax Number 2604223985
Enumeration Date 2006-09-11
Last Update Date 2020-08-22
Authorized Official Name SANFORD C SNYDERMAN (SECRETARY)
Authorized Official Telephone 2604222386
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 01016604A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BCBS 000000085958 01

Office Location

Street Address 800 BROADWAY
STE 207
City FORT WAYNE
State IN
Zip Code 46802-2149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568085 Chik Amechi Obstetrics & Gynecology 800 Broadway, Ste 315, Fort Wayne, IN 46802-2149 2005-06-21
1255750352 Fort Wayne Orthopaedics, LLC Orthopaedic Surgery 800 Broadway, Ste 215, Fort Wayne, IN 46802-2149 2014-04-16
1508287723 Bree Murua-cuney Counselor 800 Broadway, Suite 111, Fort Wayne, IN 46802-2149 2013-12-16
1285988360 Linda Hake Counselor 800 Broadway, Fort Wayne, IN 46802-2149 2012-10-29
1902067598 Beryl L Randolph,m.d., P.C. Obstetrics & Gynecology 800 Broadway, Suite 100, Fort Wayne, IN 46802-2149 2008-06-17
1154580918 Smitha Patibandla Psychiatry & Neurology 800 Broadway, Suite 315, Fort Wayne, IN 46802-2149 2008-06-06
1316119316 Shashi K Ahuja M.d. Internal Medicine 800 Broadway, Suite 300, Fort Wayne, IN 46802-2149 2008-03-31
1194913228 Psychiatric Services P C Psychiatry & Neurology 800 Broadway, Ste 208, Fort Wayne, IN 46802-2149 2007-10-15
1215080692 Fort Wayne Cardiovascular Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) 800 Broadway, Suite 201, Fort Wayne, IN 46802-2149 2007-01-19
1548379191 Shashi K Ahuja Internal Medicine 800 Broadway, Suite 300, Fort Wayne, IN 46802-2149 2006-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
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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
1205828985 Michael J Disher Otolaryngology 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2005-08-18
1366444390 John E Westfall Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-08-10
1811999840 William R Cast Otolaryngology 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 2005-08-10
1760801872 Sreeya Yalamanchali Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825 2014-04-16
1114284536 Paul William Porter Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2012-04-23
1992741698 Allied Physicians Inc Otolaryngology 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 2006-06-21
1871540021 Charles S. Giffin Otolaryngology 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-05-30
1851377691 Ear, Nose & Throat Associates, PC Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-12-22
1497738231 Allied Physicians Inc., D/b/a Ear, Nose & Throat Specialists Otolaryngology 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2005-11-25
1386636157 Henry Sayler Daugherty Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-08-18
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City FORT WAYNE
Zip Code 46802

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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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