Organization Active NPI

Otolaryngology Head & Neck Consultants, P.C.

  • Facial Plastic Surgery Physician
  • Youngstown, OH
National Provider Identifier
1578769261
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
OTOLARYNGOLOGY HEAD & NECK CONSULTANTS, P.C.
Practice address
6505 Market St Ste A103
Youngstown, OH 44512-3400
Phone
(330) 758-2001
Fax
(330) 726-3577
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Richard D Gentile, MD
Title
President
Phone
(330) 758-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

6505 Market St Ste A103
Youngstown, OH 44512-3400

Mailing address

6505 Market St Ste A103
Youngstown, OH 44512-3400
Phone (330) 758-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1578769261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST STE A103",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445123400",
            "telephone_number": "330-758-2001",
            "fax_number": "330-726-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST STE A103",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445123400",
            "telephone_number": "330-758-2001",
            "fax_number": "330-726-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY HEAD & NECK CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-758-2001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.