HEAD AND NECK SURGERY ASSOCIATES, PSC (NPI# 1760569545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760569545 |
| Entity Type | Organization |
| Organization Name | HEAD AND NECK SURGERY ASSOCIATES, PSC |
| Other Organization Name | ENT & ALLERGY SPECIALISTS |
| Practice Address |
40 N Grand Ave Suite 101 Fort Thomas KY 41075-4107 |
| Practice Telephone | 8597814900 |
| Practice Fax Number | 8595723045 |
| Mailing Telephone | 8597814900 |
| Mailing Fax Number | 8595723045 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | MRS. JESSICA DETRICK (COO) |
| Authorized Official Telephone | 8595724104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | KY | Speech, Language and Hearing Service Providers | |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100266460 | 05 | |
| KY | 65917965 | 05 | |
| IN | 100015770 | 05 | |
| OH | 701342 | 05 |
| Other Name | Type Code |
|---|---|
| ENT & Allergy Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396823381 | Head and Neck Surgery Associates, Psc | Clinic/Center | 7575 Us 42, Florence, KY 41042-1939 | 2006-11-01 |
| Street Address |
40 N GRAND AVE SUITE 101 |
| City | FORT THOMAS |
| State | KY |
| Zip Code | 41075-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689757502 | Jerry W Conners | Ophthalmology | 40 N Grand Ave, Suite 200, Fort Thomas, KY 41075-4107 | 2006-10-23 |
| 1942750559 | Tso Pllc | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2016-10-06 |
| 1669929519 | Terry Gruelle | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2016-09-08 |
| 1245685973 | Lindsay Flaherty | Audiologist | 40 N Grand Ave, Fort Thomas, KY 41075-4107 | 2016-05-02 |
| 1699106682 | Jerrod Dempsey | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2013-12-02 |
| 1083971048 | Perry Stephen Poteet | Otolaryngology | 40 N Grand Ave, Ste.101, Fort Thomas, KY 41075-4107 | 2012-04-16 |
| 1629347869 | Eileen Marie Gordon | Audiologist | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2011-12-16 |
| 1104137454 | Patrick James Haas | Otolaryngology | 40 N Grand Ave, Suite 103, Fort Thomas, KY 41075-4107 | 2010-07-01 |
| 1154632875 | Michael Steven Wehmann | Ophthalmology | 40 N Grand Ave, Ste 204, Fort Thomas, KY 41075 | 2010-06-28 |
| 1457524191 | Alliance Primary Care | Surgery | 40 N Grand Ave, Suite 202, Fort Thomas, KY 41075-4107 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630472 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Fort Thomas Avenue, Fort Thomas, KY 41075 | 2020-05-08 |
| 1245878149 | A & A Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Ft. Thomas, Ft. Thomas, KY 41075 | 2019-12-11 |
| 1588213383 | Connect Counselors | Social Worker | 1051 Alexandria Pike, Suite 104, Fort Thomas, KY 41075 | 2019-09-05 |
| 1629634407 | Kristen Lynn Salvato | Counselor | 18 North Fort Thomas Avenue, Suite 109, Fort Thomas, KY 41075 | 2019-05-16 |
| 1306364872 | Mary Frances Scott | Developmental Therapist | 26 Burney Ln, Ft Thomas, KY 41075 | 2017-09-06 |
| 1881123057 | Samuel Barth | Specialist/Technologist | 33 Bellaire Place, Fort Thomas, KY 41075 | 2017-06-09 |
| 1669918371 | Jenna Weyer | Specialist/Technologist | 46 Fischer Lane, Fort Thomas, KY 41075 | 2017-01-19 |
| 1457723033 | Lauren Bradbury | Registered Nurse | 1201 N. Ft. Thomas Ave., Ft. Thomas, KY 41075 | 2015-10-22 |
| 1053639237 | Kathy H Kugler | Psychologist | 1201 South Ft Thomas Ave, Ft Thomas, KY 41075 | 2010-05-12 |
| 1104059229 | Shanna L Murray | Psychologist | 1000 S. Ft. Thomas Ave, Fort Thomas, KY 41075 | 2009-08-24 |
| Find all providers in zip 41075 | ||||
| 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 |
|---|---|---|---|---|
| 1083971048 | Perry Stephen Poteet | Otolaryngology | 40 N Grand Ave, Ste.101, Fort Thomas, KY 41075-4107 | 2012-04-16 |
| 1104137454 | Patrick James Haas | Otolaryngology | 40 N Grand Ave, Suite 103, Fort Thomas, KY 41075-4107 | 2010-07-01 |
| 1598842213 | James Jay Kempiners | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1679651624 | Steven Maynard Woodruff | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1134206881 | Michael Anthony Domet | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1699852780 | Bryan Jeffrey Krol | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1053499038 | Thomas Milton Mayer | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1467539585 | Todd M. Kirchhoff | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| 1982782942 | Jospeh Francis Haas | Otolaryngology | 40 N Grand Ave, Suite 101, Fort Thomas, KY 41075-4107 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1386057818 | Adiavni LLC | Otolaryngology | 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 | 2014-06-02 |
| 1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT THOMAS |
| Zip Code | 41075 |
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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.