OTOLARYNGOLOGY ASSOCIATES LLC


Address: 2200 John R Wooden Dr, Ste 205, Martinsville, IN 46151-1838
Phone: 3178447059

OTOLARYNGOLOGY ASSOCIATES LLC (NPI# 1912029596) 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) 1912029596
Entity Type Organization
Organization Name OTOLARYNGOLOGY ASSOCIATES LLC
Practice Address 2200 John R Wooden Dr
Ste 205
Martinsville
IN 46151-1838
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 2010-07-20
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 100057100C 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
1841312469 Otolaryngology Associates LLC Otolaryngology 6640 Parkdale Pl, Ste O, Indianapolis, IN 46254-5656 2007-04-04
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

Office Location

Street Address 2200 JOHN R WOODEN DR
STE 205
City MARTINSVILLE
State IN
Zip Code 46151-1838

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104827633 Morgan Physician Specialists, LLC Obstetrics & Gynecology 2200 John R Wooden Dr, Suite 201, Martinsville, IN 46151-1838 2005-08-09
1730521899 Sharon Bathory Pharmacist 2200 John R Wooden Dr, Martinsville, IN 46151-1863 2013-07-17
1578849832 Indianapolis Vamc Clinic/Center 2200 John R Wooden Dr, Martinsville, IN 46151-1863 2011-10-31
1548557630 Amanda Marie Burns Internal Medicine 2200 John R Wooden Dr, Martinsville, IN 46151-1863 2011-07-08
1588844146 John L Reynolds Md, PC Orthopaedic Surgery 2200 John R Wooden Dr, Suite 100, Martinsville, IN 46151-1863 2007-11-12
1548477664 Indiana Heart Physicians, Inc. Internal Medicine 2200 John R Wooden Dr, Suite 100, Martinsville, IN 46151-1863 2007-05-17
1598782088 Alexander Skavysh Surgery 2200 John R Wooden Dr, Suite 201, Martinsville, IN 46151-1863 2006-07-17
1427004530 Claire Scheele Surgery 2200 John R Wooden Dr, Martinsville, IN 46151-1863 2006-05-26
1346239571 Jeffrey L Amodeo Surgery 2200 John R Wooden Dr, Martinsville, IN 46151-1863 2005-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376061341 Curtis Andrew Legg Chiropractor 1100 In-39 Bypass, Martinsville, IN 46151 2017-08-30
1922448919 Patricia Ann Watts Clinic/Center 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 2013-07-05
1962700856 Keather Kent Behavioral Analyst 1375 E Morgan St., Martinsville, IN 46151 2011-03-02
1124235783 Weaver Chiropractic Center PC Chiropractor 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 2007-05-16
1629197991 James Clinton Weaver Chiropractor 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 2007-03-28
1134212988 Nathaniel H Hall Dentist 829 Plaza Drive, Martinsville, IN 46151 2006-10-02
1952404634 Hook Superx LLC Pharmacy 789 State Rd 39 By Pass, Martinsville, IN 46151 2006-09-07
1992753453 Community Partners In Prenatal Care Inc Local Education Agency (LEA) 389 N Jefferson St, Martinsville, IN 46151 2006-05-05
1144290040 Angela Denise Harder Occupational Therapy Assistant 359 E Morgan Street, Martinsville, IN 46151 2006-01-24
1659447332 Richard Travis Dotterer Jr. Optometrist 410 Grand Valley Blvd, Martinsville, IN 46151 2006-11-27
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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
1962403600 Richard Scott Galos Otolaryngology 2690 Greensboro Rd, Martinsville, VA 24112-8106 2005-08-03
1780758797 Sprinkle Medical Otolaryngology 315 Hospital Dr, Suite 108, Martinsville, VA 24112-1945 2006-11-20

Providers in the same taxonomy and state

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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Competitor

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City MARTINSVILLE
Zip Code 46151

Improve Information

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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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