NPIMap

Organization Active NPI

ENT & Allergy Health Services, Inc

  • Specialist
  • Medina, OH
National Provider Identifier
1033201264
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENT & ALLERGY HEALTH SERVICES, INC
Practice address
970 E Washington St
Suite 5-D
Medina, OH 44256-3332
Phone
(330) 725-5972
Fax
(330) 723-0449
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Jeffrey Edward Binder, D.O.
Title
President
Phone
(440) 779-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

970 E Washington St
Suite 5-D
Medina, OH 44256-3332

Mailing address

25761 Lorain Rd
3Rd FL
North Olmsted, OH 44070-3327
Phone (440) 779-1112

Other identifiers 1

IdentifierTypeStateIssuer
2085541MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
ENT Health Services I5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1033201264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25761 LORAIN RD",
            "address_2": "3RD FL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703327",
            "telephone_number": "440-779-1112",
            "fax_number": "440-779-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 5-D",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-725-5972",
            "fax_number": "330-723-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT & ALLERGY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-779-1112",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.