Organization Active NPI

Ohio Valley ENT, Inc

  • Otolaryngology Physician
  • Springfield, OH
National Provider Identifier
1053382689
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OHIO VALLEY ENT, INC
Practice address
435 S Burnett Rd
Springfield, OH 45505-2717
Phone
(937) 325-8796
Fax
(937) 325-3640
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Mrs. Lisa Dewitt
Title
Admin Supervisor
Phone
(937) 325-8796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

435 S Burnett Rd
Springfield, OH 45505-2717

Mailing address

435 S Burnett Rd
Springfield, OH 45505-2717
Phone (937) 325-8796

Other identifiers 2

IdentifierTypeStateIssuer
0429852MedicaidOH
CB1116OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

435 S Burnett Rd
Springfield, OH 45505
Phone (513) 325-8796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGDCD

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1053382689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052717",
            "telephone_number": "937-325-8796",
            "fax_number": "937-325-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052717",
            "telephone_number": "937-325-8796",
            "fax_number": "937-325-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY ENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMIN SUPERVISOR",
        "authorized_official_telephone_number": "937-325-8796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429852",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB1116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.