Eyas O Othman, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036108069 Issued in IL

Practice address

71 W 156TH St
Suite 107
Harvey, IL 60426-4260

Phone

(708) 333-0730

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cressa Perish MD SC

  • Family Medicine Physician
  • Flossmoor, IL
  • NPI 1467553743
  NPD (past)
• University Head and Neck Associates, SC

  • Otolaryngology Physician
  • Downers Grove, IL
  • NPI 1598755456
  NPD (past)
• William Panje MD SC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tinley Park, IL
  • NPI 1407098544
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1215937636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434119",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST",
            "address_2": "SUITE 107",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264260",
            "telephone_number": "708-333-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHMAN",
        "first_name": "EYAS",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036108069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108069",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O and R Delivery LLC
• Maira Ochoa, APN
• Melissa Okeefe, PAC
• Rylee Olewinski, MD
• David H Orth, MD
• Bari Alexis Parks-Ballard, M.D.
• Alisha Patel, D.M.D
• Jagu Patel
• Nipa V Patel, MD
• Ricky Patel

• Otolaryngology Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.