Active NPI
Ohio Valley ENT, Inc
- Otolaryngology Physician
- Springfield, OH
National Provider Identifier
1053382689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0429852 | Medicaid | OH | |
| CB1116 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
435 S Burnett Rd
Springfield, OH 45505
Phone (513) 325-8796
Interoperability endpoints
- 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
- Ohio Institute of Cardiac Care, Inc.
- Ohio Institute of Cardiac Care, Inc. (OICC, Primary Care Network)
- Ohio Kids Dental Springfield - Roberts DMD LLC (Ohio Kids Dental - Springfield)
- Ohio Pediatric Care Alliance Physicians, LLC (Pediatric Associates of Springfield)
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio Valley Medical Center, LLC
- Ohio Valley Medical Group, LLC (Ohio Valley Ear, Nose & Throat)
- Ohio Valley Reference Lab
- Medora Oiler
- Paschal Okafor
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.