NPIMap

Organization Active NPI

Ear Nose and Throat Specialists of West Central Ohio

  • Otolaryngology Physician
  • Lima, OH
National Provider Identifier
1316167463
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35083245 Issued in OH
Legal business name
EAR NOSE AND THROAT SPECIALISTS OF WEST CENTRAL OHIO
Practice address
770 West High St
Suite 480
Lima, OH 45801
Phone
(419) 227-9500
Fax
(419) 227-9503
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Randall Elliott Dalton, MDNPI 1336155944
Title
Physician Owner
Phone
(419) 227-9500

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 35083245 OH Primary

Addresses

Primary practice location

770 West High St
Suite 480
Lima, OH 45801

Mailing address

770 West High St
Suite 480
Lima, OH 45801
Phone (419) 227-9500

Other identifiers 2

IdentifierTypeStateIssuer
35083245OtherOHLICENSE NUMBER
2445705MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316167463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WEST HIGH ST",
            "address_2": "SUITE 480",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-227-9500",
            "fax_number": "419-227-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WEST HIGH ST",
            "address_2": "SUITE 480",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-227-9500",
            "fax_number": "419-227-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT SPECIALISTS OF WEST CENTRAL OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "419-227-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35083245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "35083245",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2445705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.