Muncie Otolaryngology Associates PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MUNCIE OTOLARYNGOLOGY ASSOCIATES PC

Practice address

2525 W University Ave
Suite 501
Muncie, IN 47303-3409

Phone

(765) 284-2172

Fax

(765) 288-1292

NPI assigned

Dec 19, 2006

Last updated

Jun 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luke P Philippsen, MDNPI 1861494627

Title

President

Phone

(765) 284-2172

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Luke Patrick Philippsen, MD

  • Otolaryngology Physician
  • Muncie, IN
  • NPI 1861494627
  Authorized official Same address or phone
• Derrick Thomas Rogers, MD

  • Otolaryngology Physician
  • Muncie, IN
  • NPI 1013916345
  NPD (past)
• Binoy Mathew Chandy, M.D.

  • Otolaryngology Physician
  • New Brunswick, NJ
  • NPI 1104885003
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1245393412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 501",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033409",
            "telephone_number": "765-284-2172",
            "fax_number": "765-288-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 501",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033409",
            "telephone_number": "765-284-2172",
            "fax_number": "765-288-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCIE OTOLARYNGOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PHILIPPSEN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-284-2172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.