OTOLARYNGOLOGY ASSOCIATES LLC


Address: 6640 Parkdale Pl, Ste O, Indianapolis, IN 46254-5656
Phone: 3178447059

OTOLARYNGOLOGY ASSOCIATES LLC (NPI# 1841312469) 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) 1841312469
Entity Type Organization
Organization Name OTOLARYNGOLOGY ASSOCIATES LLC
Practice Address 6640 Parkdale Pl
Ste O
Indianapolis
IN 46254-5656
Mailing Address 9002 N Meridian St
Ste 222
Indianapolis
IN 46260-5350
Practice Telephone 3178447059
Practice Fax Number 3175734352
Mailing Telephone 3175734370
Mailing Fax Number 3178190044
Enumeration Date 2007-04-04
Last Update Date 2010-06-30
Authorized Official Name THOMAS H FAIRCHILD (PRESIDENT)
Authorized Official Telephone 3178447059
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 200838770C 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639291271 Otolaryngology Associates LLC Otolaryngology 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 2007-04-04
1023130333 Otolaryngology Associates LLC Otolaryngology 1115 Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6913 2007-04-06
1710009014 Otolaryngology Associates LLC Otolaryngology 150 W Washington St, Shelbyville, IN 46176-1236 2007-04-06
1326160631 Otolaryngology Associates LLC Otolaryngology 5255 E Stop 11 Rd, Ste 400, Indianapolis, IN 46237-6341 2007-04-06
1134241706 Otolaryngology Associates LLC Otolaryngology 2312 S Dixon Rd, Ste 200, Kokomo, IN 46902-6423 2007-04-04
1780706325 Otolaryngology Associates LLC Otolaryngology 8040 Clearvista Pkwy, Ste 350, Indianapolis, IN 46256-4673 2007-04-04
1598887143 Otolaryngology Associates LLC Otolaryngology 1101 W Jefferson St, Ste S, Franklin, IN 46131-2728 2007-04-04
1073635553 Otolaryngology Associates LLC Otolaryngology 18051 River Ave, Ste 104, Noblesville, IN 46062-7093 2007-04-04
1861514341 Otolaryngology Associates LLC Otolaryngology 11725 N Illinois St, Ste 445, Carmel, IN 46032-3010 2007-04-04
1841312402 Otolaryngology Associates LLC Otolaryngology 1 Memorial Sq, Ste 230, Greenfield, IN 46140-1381 2007-04-04

Office Location

Street Address 6640 PARKDALE PL
STE O
City INDIANAPOLIS
State IN
Zip Code 46254-5656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730130402 Robert K Silbert Physical Medicine & Rehabilitation 6640 Parkdale Pl, Suite R, Indianapolis, IN 46254-5619 2006-05-15
1053824565 Kyleigh Lewis Physical Therapist 6640 Parkdale Pl, Indianapolis, IN 46254-5619 2017-11-07
1972049948 Team Rehabilitation In08, LLC Occupational Therapist 6640 Parkdale Pl, Suite T, Indianapolis, IN 46254-5619 2017-01-13
1790034049 Pm&r Associates, Inc Clinic/Center 6640 Parkdale Pl, Suite R, Indianapolis, IN 46254-5619 2012-08-31
1700150679 Penny W. Kallmyer, M.d., P.C. Pediatrics 6640 Parkdale Pl, Suite U, Indianapolis, IN 46254-5619 2012-02-24
1295009173 Timothy M Eisenhut Md Pediatrics 6640 Parkdale Pl, Suite U, Indianapolis, IN 46254-5619 2012-02-24
1225315252 Catherine Denise Stocker Audiologist 6640 Parkdale Pl, Suite O, Indianapolis, IN 46254-5619 2011-11-04
1073800595 Katelin Marie Koontz Physical Therapist 6640 Parkdale Pl, Suite T, Indianapolis, IN 46254-5619 2011-07-05
1710290283 Brenda S Howard Occupational Therapist 6640 Parkdale Pl, Suite O, Indianapolis, IN 46254-5619 2010-07-26
1225269301 Melissa E Teske Audiologist 6640 Parkdale Pl, Ste O, Indianapolis, IN 46254-5656 2009-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
1316587660 Yulisa Carrera-ochoa Behavior Technician 6925 Parkdale Place, Indianapolis, IN 46254 2020-01-14
1396230140 Emeri Taivalkoski Registered Nurse Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 2018-06-25
1811499759 Sara Peterson Speech-Language Pathologist 4102 Shore Drive, Indianapolis, IN 46254 2018-03-07
1427560002 Swan Garden Home Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4906 Quail Ridge Ln, Indianapolis, IN 46254 2017-11-03
1477083475 Sherry Mason Counselor 5959 Staffordshire Cir, Indianapolis, IN 46254 2017-06-13
1790111680 The Health and Hospital Corporation of Marion County Pharmacy 5515 W 38th St Ste 1200, Indianapolis, IN 46254 2013-09-24
1790051563 Theracare Skilled Nursing Facility 5356 Holly Springs Ct, Indianapolis, IN 46254 2012-03-27
1750659827 Apollon Counselor 5362 Deer Creek Drive, Indianapolis, IN 46254 2011-12-05
1235413253 Irene Williams Pharmacist 6269 W. 38th St, Indianapolis, IN 46254 2011-10-10
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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
1881221208 Morgan Sandelski Otolaryngology 2015 Central Ave, Indianapolis, IN 46202-1634 2020-03-25
1437687126 Dhruv Sharma Otolaryngology 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 2017-05-25
1043658818 Jessica A. Yesensky Otolaryngology 1544 Carrollton Ave, Indianapolis, IN 46202-2717 2013-06-13
1952689085 Swapna A Eisinger Otolaryngology 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237-6341 2011-07-22
1831357722 Kelly Kathryn Hiatt Otolaryngology 1400 N Ritter Ave Ste 230, Indianapolis, IN 46219-3046 2008-05-28
1639291271 Otolaryngology Associates LLC Otolaryngology 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 2007-04-04
1851427900 Michael Geoffrey Moore Otolaryngology 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5149 2007-02-25
1740347194 Thomas H Fairchild Otolaryngology 5255 East Stop 11 Road, Suite 400, Indianapolis, IN 46237-6341 2007-01-03
1427015833 Dean J Trigg Otolaryngology 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260-2053 2006-04-28
1386138535 Timothy J Shin Otolaryngology 550 University Blvd, Indianapolis, IN 46202-5149 2018-06-20
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City INDIANAPOLIS
Zip Code 46254

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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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