FIFTH AVENUE OTOLARYNGOLOGISTS, INC. (NPI# 1760577787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760577787 |
| Entity Type | Organization |
| Organization Name | FIFTH AVENUE OTOLARYNGOLOGISTS, INC. |
| Practice Address |
7227 Glenwood Ave Youngstown OH 44512-4853 |
| Practice Telephone | 3306292144 |
| Practice Fax Number | 3306292140 |
| Mailing Telephone | 3306292144 |
| Mailing Fax Number | 3306292140 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JILL BAYLESS (DIRECTOR OF FINANCE & OPERATIONS) |
| Authorized Official Telephone | 3306292144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 50088404 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CE5013 | 01 | |
| OH | ANTHEM GROUP ID | 000000252392 | 01 |
| KEYSTONE HEALTH PLAN | 278113 | 01 | |
| OH | 0666819 | 05 | |
| HIGHMARK | 099857 | 01 |
| Street Address |
7227 GLENWOOD AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932186988 | Deborah Kay Yaich | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2005-12-29 |
| 1780774703 | Regina A Wendel | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-13 |
| 1134215924 | Leah C Frederick-toth | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-05 |
| 1316032097 | Eugene L Potesta Jr. | Otolaryngology | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-04 |
| 1891880597 | John W Babyak Jr. | Otolaryngology | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1366544520 | Escarlito Uminga Sevilla | Otolaryngology | 5427 Mahoning Avenue, Suite 23, Youngstown, OH 44515 | 2006-09-01 |
| 1316032097 | Eugene L Potesta Jr. | Otolaryngology | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-04 |
| 1891880597 | John W Babyak Jr. | Otolaryngology | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-04 |
| 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 | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.