Ear Clinic of Indiana

Primary specialty

SpecialistTaxonomy code 174400000X

License

01044624 Issued in IN

Legal business name

EAR CLINIC OF INDIANA

Practice address

9604 Coldwater Rd Ste 103
Fort Wayne, IN 46825-2096

Phone

(260) 387-5820

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Disher, M.D.NPI 1205828985

Title

Owner

Phone

(260) 414-4882

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Michael J Disher, MD

  • Otology & Neurotology Physician
  • Fort Wayne, IN
  • NPI 1205828985
  Medicare reassignment Care Compare group Authorized official
• Denise A Bickley, AU.D.

  • Audiologist
  • Fort Wayne, IN
  • NPI 1194701300
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1497055099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 COLDWATER RD STE 103",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252096",
            "telephone_number": "260-387-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 COLDWATER RD STE 103",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252096",
            "telephone_number": "260-387-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR CLINIC OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "DISHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-414-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01044624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201005050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Dziondziak
• Jadyn Eader
• Marvin Preston Eady Jr., DDS
• Eagles Wings Home Health LLC
• Eagles Wings Homes LLC
• Ear, Nose & Throat Associates, PC
• Takita Earl
• Sydni Early
• Earthen Vessels Nurse Midwifery LLC
• Mary Beth Eash, RN

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.