Southern Indiana ENT, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHERN INDIANA ENT, LLC

Practice address

1655 N Gladstone Ave
Suite E
Columbus, IN 47201-5392

Phone

(812) 376-3071

Fax

(812) 378-5721

NPI assigned

Apr 9, 2007

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony D Sanders, M.D.NPI 1689671885

Title

Co-Owner-Partner

Phone

(812) 376-3071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Allen Buck, NP

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1881364552
  Medicare reassignment Care Compare group NPD
• Hailey Dean, AU.D

  • Audiologist
  • Franklin, IN
  • NPI 1518771468
  Medicare reassignment Care Compare group NPD
• Greg Andrew Fillenwarth, FNP,BC

  • Family Nurse Practitioner
  • North Vernon, IN
  • NPI 1477556108
  Medicare reassignment Care Compare group NPD
• Jana L Fischer, NPC

  • Family Nurse Practitioner
  • Seymour, IN
  • NPI 1851356430
  Medicare reassignment Care Compare group NPD
• Nicholas C Hollenkamp, MD

  • Otolaryngology Physician
  • Columbus, IN
  • NPI 1891792149
  Medicare reassignment Care Compare group NPD
• Kenneth Kennedy

  • Otolaryngology Physician
  • Columbus, IN
  • NPI 1841653581
  Medicare reassignment Care Compare group NPD
• Anthony D Sanders, MD

  • Otolaryngology Physician
  • Columbus, IN
  • NPI 1689671885
  Medicare reassignment NPD Authorized official
• Katelyn Maxine Sanders Schneider, FNP

  • Nurse Practitioner
  • Columbus, IN
  • NPI 1912364878
  Medicare reassignment Care Compare group NPD
• Laura Michelle Burger

  • Audiologist
  • Columbus, IN
  • NPI 1639374903
  Medicare reassignment Care Compare group
• Jordan Dean, PA

  • Physician Assistant
  • Columbus, IN
  • NPI 1598499972
  Medicare reassignment Care Compare group
• Jessi Grostefon, PA-C

  • Medical Physician Assistant
  • St Thomas, VI
  • NPI 1962957928

  IN

  Medicare reassignment Care Compare group
• Dani Sue Becker, FNP

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1265906291
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1013030618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015392",
            "telephone_number": "812-376-3071",
            "fax_number": "812-378-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015392",
            "telephone_number": "812-376-3071",
            "fax_number": "812-378-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER-PARTNER",
        "authorized_official_telephone_number": "812-376-3071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Indiana Orthopedics
• Southern Indiana Orthopedics Inc
• Southern Indiana Surgery Inc

• Otolaryngology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.