Bloomington Ent Pc, NPI 1306816665
Otolaryngology Physician in Bloomington, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306816665
NPI Entity Type Organization
Provider Name Bloomington Ent Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1791 W 3rd St, Bloomington, IN, US
Provider Mailing Address 1791 W 3rd St, Bloomington, IN, US, 474045029
Is Sole Proprietor? No
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Organization Official

Official Name MD Jesse Phillips
Official Position OWNER
Phone 812-335-1300

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207Y00000X

Taxonomy Name Otolaryngology Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 01040385A
License State IN
Description 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.

Business Address

Bloomington Ent Pc
1791 W 3rd St

Bloomington, IN, US

Phone: 812-335-1300
Fax: 812-335-0300

Mailing Address

Bloomington Ent Pc
1791 W 3rd St
Bloomington, IN, US
ZIP 474045029
Phone: 812-335-1300
Fax: 812-335-0300

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5818093 IN AETNA 01
2440326 IA CIGNA 01
000000209641 IN ANTHEM BCBS 01
546541P IN SIHO 01

Other Providers in IN, US

NPI Name Taxonomy Address

1528516226

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MD Julie A Tillman

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DR. M.D. Rebecca E Minser

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DR. M.D. Dona M Uncheselu

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MD Megan C. Lemon

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Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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