Active NPI
Facial Plastic Surgery Ears, Nose, and Throat Clinic
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Kokomo, IN
National Provider Identifier
1043404296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Legal business name
- FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
- Practice address
- 2220 W Alto Rd
Kokomo, IN 46902-4840 - Phone
- (765) 455-2577
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Banipal Hovhanessian, MD
- Title
- Dr./Owner
- Phone
- (765) 455-2577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | |||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | Primary | ||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | |||
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X |
Addresses
Primary practice location
2220 W Alto Rd
Kokomo, IN 46902-4840
Mailing address
2220 W Alto Rd
Kokomo, IN 46902-4840
Phone (765) 455-2577
National Provider Directory
National Provider DirectoryLocations
2220 W Alto Rd
Kokomo, IN 46902
Phone (317) 455-2577
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Kokomo, IN
- NPI 1639120371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1043404296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 W ALTO RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469024840",
"telephone_number": "765-455-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 W ALTO RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469024840",
"telephone_number": "765-455-2577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "HOVHANESSIAN",
"authorized_official_first_name": "BANIPAL",
"authorized_official_title_or_position": "DR./OWNER",
"authorized_official_telephone_number": "765-455-2577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": null,
"license": null,
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
- Eye Physicians Inc
- Eye Specialists of East Central Indiana, LLC (Kokomo Eye Specialists)
- Eyecare Indiana II, PC (C&B Optical One)
- Eyecare Indiana LL, PC (C&B Optical One)
- Tara L Eytcheson
- Alexander Facista, MD
- Belinda Diane Fairbanks
- Family and Cosmetic Dentistry of Kokomo, PC
- Family Piece LLC (Family Piece)
- Family Psychiatric Center LLC (Donald Roegner MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.