Organization Active NPI

Cambridge ENT and Allergy Clinic, Inc.

  • Medical Specialty Clinic/Center
  • Cambridge, OH
National Provider Identifier
1497796411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35-08-2261-G Issued in OH
Legal business name
CAMBRIDGE ENT AND ALLERGY CLINIC, INC.
Practice address
813 Steubenville Ave
Cambridge, OH 43725-2383
Phone
(740) 439-3800
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Bernard Gholl, M.D.
Title
President, Ceo
Phone
(740) 439-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35-08-2261-G OH Primary

Addresses

Primary practice location

813 Steubenville Ave
Cambridge, OH 43725-2383

Mailing address

813 Steubenville Ave
Cambridge, OH 43725
Phone (740) 439-3800

Other identifiers 1

IdentifierTypeStateIssuer
2387948MedicaidOH

National Provider Directory

National Provider Directory

Locations

813 Steubenville Ave
Cambridge, OH 43725
Phone (740) 439-3800

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497796411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-439-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252383",
            "telephone_number": "740-439-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE ENT AND ALLERGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOLL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "740-439-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35-08-2261-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.