Organization Active NPI

Ohio Valley Head and Neck

  • Otolaryngology Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1073531943
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OHIO VALLEY HEAD AND NECK
Practice address
1860 State Rd
Suite a
Cuyahoga Falls, OH 44223-1400
Phone
(330) 923-0399
Fax
(330) 923-6677
NPI assigned
Jul 18, 2006
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Phillip L Khalil, D.O.NPI 1467403485
Title
President
Phone
(330) 923-0399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

1860 State Rd
Suite a
Cuyahoga Falls, OH 44223-1400

Mailing address

PO Box 355
Cuyahoga Falls, OH 44222-0355
Phone (330) 923-0399

Other identifiers 1

IdentifierTypeStateIssuer
2712836MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1073531943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442220355",
            "telephone_number": "330-923-0399",
            "fax_number": "330-923-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 STATE RD",
            "address_2": "SUITE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231400",
            "telephone_number": "330-923-0399",
            "fax_number": "330-923-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY HEAD AND NECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-923-0399",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.