ETHAN SOUDRY


Address: 2416 Forest Green Ct, Baltimore, MD 21209-1566
Phone: 4433528992

ETHAN SOUDRY (NPI# 1912206889) 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) 1912206889
Entity Type Individual
Full Name ETHAN SOUDRY
Credential M.D.
Practice Address 2416 Forest Green Ct
Baltimore
MD 21209-1566
Practice Telephone 4433528992
Mailing Telephone 4433528992
Enumeration Date 2011-03-17
Last Update Date 2011-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 127459 ZZ Allopathic & Osteopathic Physicians

Office Location

Street Address 2416 FOREST GREEN CT
City BALTIMORE
State MD
Zip Code 21209-1566

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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
1770945917 Michelle S Hwang Otolaryngology 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 2016-03-27
1962817098 Sunny Joseph Haft Otolaryngology James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 2014-06-27
1790195485 Total Ent Care LLC Otolaryngology 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 2014-05-02
1700206869 Joseph Choi Park Otolaryngology 601 N Caroline St # Street6, Baltimore, MD 21287-0006 2014-04-16
1689091522 Omar Gasudraz Ahmed Otolaryngology 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 2014-03-27
1871936112 Deepa J Galaiya Otolaryngology 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 2013-04-16
1225392558 Nicholas Ray Rowan Otolaryngology 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 2012-07-02
1205148707 Jonathon O Russell Otolaryngology 601 N. Caroline St., 6th Floor Otolaryngology Head and Neck Surgery, Baltimore, MD 21287 2010-07-13
1285955427 Rebecca J Hammon Otolaryngology 600 N Wolfe St Fl 6, Baltimore, MD 21287-0005 2010-06-22
1457672099 Rajarsi Mandal Otolaryngology 1650 Orleans St Rm 444, Baltimore, MD 21287 2010-06-17
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City BALTIMORE
Zip Code 21209

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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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