Summerlin Otology Inc, NPI 1952388837
Otolaryngology Physician in Indianapolis, 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 1952388837
NPI Entity Type Organization
Provider Name Summerlin Otology Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3351 N Meridian St, Suite 100, Indianapolis, IN, US
Provider Mailing Address 3351 N Meridian St, Suite 100, Indianapolis, IN, US, 462084674
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Jack D Summerlin
Official Position PRESIDENT MD
Phone 317-923-5439

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. 01017561
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

Summerlin Otology Inc
3351 N Meridian St
Suite 100

Indianapolis, IN, US

Phone: 317-923-5439
Fax: 317-923-4633

Mailing Address

Summerlin Otology Inc
3351 N Meridian St
Suite 100
Indianapolis, IN, US
ZIP 462084674
Phone: 317-923-5439
Fax: 317-923-4633

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100119090A IN MEDICAID 05
041068120 IN RAILROAD 01
200891910A IN MEDICAID 05
100065670C IN MEDICAID 05

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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Jennifer Vanzant

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DR. M.D. Dona M Uncheselu

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MD Amy K Sadler

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MD Kevin K Hart

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MD Megan C. Lemon

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1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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