Organization Active NPI

Center for Ear Nose Throat and Allergy PC

  • Otolaryngology Physician
  • Carmel, IN
National Provider Identifier
1295752806
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
50001873A Issued in IN
Legal business name
CENTER FOR EAR NOSE THROAT AND ALLERGY PC
Practice address
12188A N Meridian St
Suite 375
Carmel, IN 46032
Phone
(317) 926-1056
Fax
(317) 806-2338
NPI assigned
Jul 17, 2006
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Edward J Krowiak, MDNPI 1023018546
Title
President
Phone
(317) 926-1056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 50001873A IN Primary

Addresses

Primary practice location

12188A N Meridian St
Suite 375
Carmel, IN 46032

Mailing address

12188A N Meridian St
Suite 375
Carmel, IN 46032
Phone (317) 926-1056

Other identifiers 2

IdentifierTypeStateIssuer
100065540MedicaidIN
000000101928OtherINANTHEM BCBS

Other names 1

  • Head and Neck Surgery Associates PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700

13250 Hazel Dell Pkwy
Ste 105
Carmel, IN 46033
Phone (317) 848-4000

7400 N Shadeland Ave
Ste 200
Indianapolis, IN 46250

7440 N Shadeland Ave
#107
Indianapolis, IN 46250

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1000 S Main St
Ste 1
Tipton, IN 46072

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14576/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1295752806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-926-1056",
            "fax_number": "317-806-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-926-1056",
            "fax_number": "317-806-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EAR NOSE THROAT AND ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "KROWIAK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-926-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "50001873A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065540",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000101928",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Head and Neck Surgery Associates PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.